Organization
SJLV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH CHALLA M.D (OWNER)
(480) 286-8134
Entity
Organization
Contact information
Practice address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(480) 286-8134
Mailing address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(480) 286-8134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
03/28/2025
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