Kudchadkar Clinic

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

10531 Issued in SC

Legal business name

KUDCHADKAR CLINIC

Practice address

880 West Moultrie St
Suite 100
Winnsboro, SC 29180

Phone

(803) 635-6411

Fax

(803) 712-6651

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anil J Kudchdkar, M.D.

Title

President

Phone

(803) 635-6411

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shubha Kudchadkar, M.D.

  • Pediatrics Physician
  • Winnsboro, SC
  • NPI 1285609081
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710181060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291800479",
            "telephone_number": "803-635-6411",
            "fax_number": "803-712-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WEST MOULTRIE ST",
            "address_2": "SUITE 100",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-6411",
            "fax_number": "803-712-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUDCHADKAR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KUDCHDKAR",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-635-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "SC",
            "license": "10853",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "10531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105317",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108537",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Johnson
• Shemika Johnson
• Tiera Johnson
• Robert E Keroson, D.C
• Leiloni Alicia Khai
• Anil Kudchadkar, M.D.
• Shubha Kudchadkar, M.D.
• Michelle Law
• Tonya Denise Lawson
• Shnita M Lee, B.A., M.A.

• Vascular Surgery Physician in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Vascular Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.