| Santoshi Lattupally, | |
| 
					103 Stuard St, Gaffney, SC 29341-1263  | |
| (864) 514-1080 | |
| (864) 514-1090 | 
| Full Name | Santoshi Lattupally | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 103 Stuard St, Gaffney, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700308178 | NPI | - | NPPES | 
| SCI785J577 | Other | SC | MEDICARE PIN | 
| SCI7855019 | Other | SC | MEDICARE PIN | 
| SCI7856084 | Other | SC | MEDICARE PIN | 
| 847052 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 84705 (South Carolina) | Primary | 
| Entity Name | Spartanburg Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577  | 
| Entity Name | Spartanburg Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686  | 
| Entity Name | Cherokee Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Santoshi Lattupally, Po Box 277723, Atlanta, GA 30384-3070 Ph: () -  | Santoshi Lattupally, 103 Stuard St, Gaffney, SC 29341-1263 Ph: (864) 514-1080  | 
Beverly Elizabeth Corry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1621 W Buford St, Gaffney, SC 29341 Phone: 864-488-9247  | |
Dr. Roy Woodley Furr Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333  |