Individual
VENKATESHWAR K GOTTIPATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 254-3278
(803) 929-3256
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
22322
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
22322
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223225
—
SC
Enumeration date
06/04/2006
Last updated
08/25/2021
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