Individual
SHASHIKANTH NAGABANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Mailing address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259799
MA
207RC0000X
Cardiovascular Disease Physician
Primary
83807
SC
Other
Enumeration date
07/02/2014
Last updated
07/16/2020
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