Individual
DR. PRANEETH BARATAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4409
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056594
IL
207R00000X
Internal Medicine Physician
MD449181
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
83526
SC
Other
Enumeration date
04/14/2010
Last updated
03/02/2022
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