Organization
KUDCHADKAR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL J KUDCHDKAR M.D. (PRESIDENT)
(803) 635-6411
Entity
Organization
Contact information
Practice address
880 WEST MOULTRIE ST, SUITE 100, WINNSBORO, SC 29180
(803) 635-6411
(803) 712-6651
Mailing address
PO BOX 479, WINNSBORO, SC 29180-0479
(803) 635-6411
(803) 712-6651
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
10853
SC
2086S0129X
Vascular Surgery Physician
Primary
10531
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105317
—
SC
05
—
108537
—
SC
Enumeration date
06/12/2007
Last updated
09/11/2025
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