Most Relevant Information
Provider Data
| NPI Number: | 1003566498 |
| Provider Name: | SAI KIRAN GUDLA |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | LL89748 |
Most Important Dates
| Enumeration Date: | 03/28/2022 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
169 ASHLEY AVE RM 202
CHARLESTON
SC
294252134
Practice Location Phone/Fax
| Phone: | 8437922575 |
| Fax: |
Provider Mailing Location
11522 TURNING HAWK RD
CHARLOTTE
NC
282773639
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |