Individual
DR. SHAYM PUPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 E BUTLER ROAD, GREENVILLE, SC 29607-5910
(864) 640-0009
(864) 558-0589
Mailing address
2131 WOODRUFF ROAD, SUITE 2100 #127, GREENVILLE, SC 29607-5959
(864) 640-0009
(864) 558-0589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31120
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311200
—
SC
Enumeration date
07/09/2006
Last updated
03/04/2015
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