Healthcare Provider Details

I. General information

NPI: 1043279789
Provider Name (Legal Business Name): INTRAMED PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 LACROSS RD SUITE 1200
NORTH CHARLESTON SC
29406-6542
US

IV. Provider business mailing address

4995 LACROSS RD SUITE 1200
NORTH CHARLESTON SC
29406-6542
US

V. Phone/Fax

Practice location:
  • Phone: 843-763-2080
  • Fax: 803-763-9916
Mailing address:
  • Phone: 843-763-2080
  • Fax: 803-763-9916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number01061984165043
License Number StateSC

VIII. Authorized Official

Name: MEENAL SETHNA
Title or Position: PRESIDENT, CF/TREASURER
Credential:
Phone: 800-879-6137