Individual
DR. VIJAYA KORRAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 E MEDICAL LN STE 400, WEST COLUMBIA, SC 29169-4848
(803) 794-7511
(803) 794-7751
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21558
SC
207RH0003X
Hematology & Oncology Physician
Primary
21558
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215583
—
SC
Enumeration date
03/02/2006
Last updated
11/09/2020
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