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NPI Code Detail

MEDICARE: RITHI JOHN CHANDY

MEDICARE:   RITHI JOHN CHANDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician94538SC

General Provider Information

NPI Number : 1023878949
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITHI JOHN CHANDY
Provider Business Mailing Address
First Line : 169 ASHLEY AVENUE
Second Line : ROOM 202 MAIN HOSPITAL, MSC333
City : CHARLESTON
State : SC
Zip : 29425-8903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 135 RUTLEDGE AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-1415
Country : US
Telephone Number : 843-792-9155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 06/01/2026

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Directions to “ RITHI JOHN CHANDY ” Practice Location

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