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Individual

DR. KATAPADI SURENDRA SHENOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1859 NORTH PARIS AVENUE, SUITE 212, PORT ROYAL, SC 29935-2047
(843) 524-2002
(843) 524-3522
Mailing address
1859 NORTH PARIS AVENUE, SUITE 212, PORT ROYAL, SC 29935-2047
(843) 524-2002
(843) 524-2002

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11315
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113157
SC
Enumeration date
08/01/2006
Last updated
06/02/2010
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