Healthcare Provider Details

I. General information

NPI: 1326205618
Provider Name (Legal Business Name): KAREN ANNE RADUAZO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KAREN ANNE SCHINKEL

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 04/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9313 MEDICAL PLAZA DR STE 310
N CHARLESTON SC
29406-9155
US

IV. Provider business mailing address

PO BOX 118008
N CHARLESTON SC
29423-8008
US

V. Phone/Fax

Practice location:
  • Phone: 843-569-1856
  • Fax: 846-569-1879
Mailing address:
  • Phone: 843-569-1856
  • Fax: 843-569-1879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number34445
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: