Individual
DR. DEEKSHA JANDHYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425
(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
005654
GA
207RI0200X
Infectious Disease Physician
Primary
52418
SC
207RI0200X
Infectious Disease Physician
61632
MN
Other
Enumeration date
06/25/2012
Last updated
07/17/2018
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