Individual
DEEPA NUTHALAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 MIDLAND PKWY, SUITE A, SUMMERVILLE, SC 29485
(843) 900-5000
Mailing address
109 BURTON AVE STE A, SUMMERVILLE, SC 29485-8117
(786) 830-7713
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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