Individual
DR. MICHAEL ANDREEVICH SAGATELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2073 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 571-0643
(843) 377-0499
Mailing address
2073 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 571-0643
(843) 377-0499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18042
SC
207R00000X
Internal Medicine Physician
0101282315
VA
207RG0100X
Gastroenterology Physician
0101282315
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180422
—
SC
Enumeration date
05/10/2006
Last updated
12/27/2024
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