Provider Demographics
NPI:1285895540
Name:GARAPATI, HARI NAGA VENU GOPAL (MBBS, MD, MSPH)
Entity type:Individual
Prefix:
First Name:HARI NAGA
Middle Name:VENU GOPAL
Last Name:GARAPATI
Suffix:
Gender:M
Credentials:MBBS, MD, MSPH
Other - Prefix:
Other - First Name:HARINAGA
Other - Middle Name:
Other - Last Name:GARAPATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10 MEMORIAL MEDICAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605
Mailing Address - Country:US
Mailing Address - Phone:864-220-1200
Mailing Address - Fax:
Practice Address - Street 1:10 MEMORIAL MEDICAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4450
Practice Address - Country:US
Practice Address - Phone:864-220-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
SCMD35604207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program