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Individual

RUPA KOOTHIREZHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
(864) 573-6320
Mailing address
151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
(864) 573-6320

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
323519
LA
207QS1201X
Sleep Medicine (Family Medicine) Physician
323519
LA
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
94690
SC

Other

Enumeration date
03/28/2017
Last updated
07/07/2025
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