Individual
DR. KANDASAMY CHETTY PERUMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
135 PROFESSIONAL PARK DR, SENECA, SC 29678-2558
(864) 882-8074
(864) 882-1908
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
148557-1
NY
208800000X
Urology Physician
Primary
86822
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SCL859
—
SC
Enumeration date
01/04/2006
Last updated
12/28/2021
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