Individual
SIDDHARTH SRIKAKOLAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-3150
(843) 876-5074
(843) 792-5858
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-3150
(843) 876-5074
(843) 792-5858
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
92836
SC
Other
Enumeration date
10/24/2022
Last updated
07/02/2024
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