Individual
DR. NARESH MULLAGURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE B350, GREENVILLE, SC 29615-6337
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
84022
SC
2084V0102X
Vascular Neurology Physician
MD84022
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013021067
MISSOURI TEMPORARY LICENSE NUMBER
MO
Enumeration date
06/28/2013
Last updated
06/01/2021
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