Individual
KRISHI VENKATA PEDDADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
273 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7132
(864) 654-6706
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
87529
SC
207WX0107X
Retina Specialist (Ophthalmology) Physician
87529
SC
Other
Enumeration date
06/13/2016
Last updated
04/24/2026
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