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Individual

DR. SASIKUMAR KILAIKODE CHERUVEETTARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 PATEWOOD DR STE A330, GREENVILLE, SC 29615-3593
(864) 454-5530
(864) 241-9246
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
309907
LA
2080P0214X
Pediatric Pulmonology Physician
309907
LA
2080P0214X
Pediatric Pulmonology Physician
Primary
92395
SC

Other

Enumeration date
04/20/2015
Last updated
08/07/2024
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