Individual
PREDESH PARASSERIL JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-7116
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
93633
SC
Other
Enumeration date
03/26/2024
Last updated
01/02/2025
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