Organization
SHYAM YALLAPRAGADA MD, F.C.C.P.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAM YALLAPRAGADA MD (OWNER)
(843) 572-4774
Entity
Organization
Contact information
Practice address
2811 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 572-4774
(843) 572-2508
Mailing address
2811 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 572-4774
(843) 572-2508
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9767
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1033
—
SC
Enumeration date
11/28/2007
Last updated
11/30/2007
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