Individual
ANIL K TAMMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 N FANT ST, ANDERSON, SC 29621-5717
(864) 261-1800
(864) 261-1856
Mailing address
819 N FANT ST, ANDERSON, SC 29621-5717
(864) 261-1800
(864) 261-1856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280396
—
SC
01
—
P00254500
RR MEDICARE
SC
01
—
P00964176
RR MEDICARE
SC
Enumeration date
05/11/2006
Last updated
10/17/2011
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