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Individual

ANUP BHUSHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-5051
(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
0101246053
VA
207R00000X
Internal Medicine Physician
52169
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
52169
SC
390200000X
Student in an Organized Health Care Education/Training Program
0116017785
VA

Other

Enumeration date
05/17/2007
Last updated
03/02/2022
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