Krishna Kumar Pudi MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19077 Issued in SC

Legal business name

KRISHNA KUMAR PUDI MD PA

Practice address

110A Hospital Dr
Simpsonville, SC 29681-3226

Phone

(864) 963-9090

Fax

(864) 962-0610

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lou Jessup

Title

Insurance Processor

Phone

(864) 963-9090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishna Kumar Pudi, MD PA

  • Internal Medicine Physician
  • Simpsonville, SC
  • NPI 1255443305
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760609853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110A HOSPITAL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-963-9090",
            "fax_number": "864-962-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110A HOSPITAL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-963-9090",
            "fax_number": "864-962-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA KUMAR PUDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JESSUP",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "INSURANCE PROCESSOR",
        "authorized_official_telephone_number": "864-963-9090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melynda Kosmos
• Beryl Cynthia Kotze
• Tammy Kowaleski
• Emily Suzanne Krall
• KRG Medical Services LLC
• Taylor Krulac, MA., LPCI
• Clarence Blyler Kugler, PT
• Sarah Malloy Kuhn, MD
• Sara Grunthaler Kunkle, MS, LPES
• Paige Kupferer, LPC

• Internal Medicine Physician in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.