| Sjlv Llc | |
|
6650 Rivers Ave Ste 100 North Charleston SC 29406-4809 | |
| (480) 286-8134 | |
| Not Available |
| Full Name | Sjlv Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6650 Rivers Ave Ste 100, North Charleston, South Carolina |
| Authorized Official Name and Position | Suresh Challa (OWNER) |
| Authorized Official Contact | 4802868134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjlv Llc 6650 Rivers Ave Ste 100 North Charleston SC 29406-4809 Ph: (480) 286-8134 | Sjlv Llc 6650 Rivers Ave Ste 100 North Charleston SC 29406-4809 Ph: (480) 286-8134 |
| NPI Number | 1225852429 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 03/28/2025 |
| Medicare PECOS PAC ID | 3173043122 |
|---|---|
| Medicare Enrollment ID | O20250221000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225852429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Suresh Challa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578711024 PECOS PAC ID: 9638342371 Enrollment ID: I20230627000761 |
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