Healthcare Provider Details

I. General information

NPI: 1629919964
Provider Name (Legal Business Name): CHARANE SREE AENUGINTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HCA HEALTHCARE TRIDENT MEDICAL CENTER 9225 UNIVERSITY BLVD SUITE E2B
NORTH CHARLESTON SC
29406
US

IV. Provider business mailing address

9225 UNIVERSITY BLVD SUITE E2B
NORTH CHARLESTON SC
29406
US

V. Phone/Fax

Practice location:
  • Phone: 843-797-7000
  • Fax:
Mailing address:
  • Phone: 843-901-0724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: