Individual
MR. SIDDESHA ARASHINAGUNDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1208 AUGUSTA ST, GREENVILLE, SC 29605-4084
(864) 522-6200
(864) 522-6205
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19946
SC
207R00000X
Internal Medicine Physician
Primary
19946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T40514
—
SC
Enumeration date
10/10/2006
Last updated
07/19/2021
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