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Individual

DR. HIMABINDU BANDARUPALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32501
SC
208M00000X
Hospitalist Physician
Primary
32501
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
325017
SC
05
5916766
NC
01
P00892910
RAILROAD MEDICARE
SC
Enumeration date
06/23/2008
Last updated
05/10/2021
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