Individual
HARISH MANGIPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3010
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO4761
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047611
—
SC
Enumeration date
06/25/2009
Last updated
09/09/2015
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