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Individual

DR. VENKATESWARLU CHINTAGUMPALA

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
Mailing address
819 N FANT ST, ANDERSON, SC 29621-5717
(864) 261-1800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37942
SC
207R00000X
Internal Medicine Physician
Primary
MD472461
PA
208M00000X
Hospitalist Physician
MD472461
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379423
SC
01
P01698106
RAILROAD MEDICARE
SC
Enumeration date
07/16/2014
Last updated
01/16/2026
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