Individual
MS. SUDEEPTHI BANDIKATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8050
(843) 347-8049
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
93139
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
931399
—
SC
Enumeration date
04/11/2019
Last updated
05/06/2026
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