Individual
DR. MICHAEL M SAMIRATEDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Mailing address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DO83825
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838260
—
SC
Enumeration date
06/26/2017
Last updated
10/24/2023
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