Ashwin Attiguppam Mallikarjun, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20201 Issued in SC

Practice address

1608 Main St
Conway, SC 29526-3572

Phone

(843) 248-4700

Fax

(843) 248-3145

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184720690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-248-4700",
            "fax_number": "843-248-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-248-4700",
            "fax_number": "843-248-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIKARJUN",
        "first_name": "ASHWIN",
        "middle_name": "ATTIGUPPAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "20201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F. Magill
• Magnolia Pediatrics
• Jessica Lynn Mahady, AGACNP-BC
• Alysha Rochelle Mahaffey, FNP-BC
• Nicole Maliszewski, LISW-CP
• Meghan Lynne Malone, M.D
• Kristie Manjarrez, RN
• Jane Mansfield, REGISTERED NURSE
• Eric Marty Mapula
• Nicholas Darrow Marchase, M.D.

• Pediatrics Physician in Conway, SC
• Providers in Conway, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.