Individual
DR. KAMBAYANDA LEELA CHENGAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
3381.PHYILLIS BLVD, MYRTLE BEACH, SC 29577
(843) 477-0177
Mailing address
3936 LARK HILL DR, MYRTLE BEACH, SC 29577-5815
(843) 445-6947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12981
WV
Other
Enumeration date
09/22/2006
Last updated
10/20/2015
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