Individual
DR. SREE RUPA CHALASANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5753
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5753
(843) 777-5766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90836
SC
390200000X
Student in an Organized Health Care Education/Training Program
261516
NC
Other
Enumeration date
04/01/2020
Last updated
10/03/2023
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