Individual
SUHANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425
(843) 792-4074
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL94758
SC
207W00000X
Ophthalmology Physician
Primary
LL94758
SC
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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