Provider Demographics
NPI:1851637060
Name:CHALUVADI, PURNIMA (PHD)
Entity Type:Individual
Prefix:DR
First Name:PURNIMA
Middle Name:
Last Name:CHALUVADI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5933
Mailing Address - Country:US
Mailing Address - Phone:864-987-7086
Mailing Address - Fax:864-987-7092
Practice Address - Street 1:1750 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5933
Practice Address - Country:US
Practice Address - Phone:864-987-7086
Practice Address - Fax:864-987-7092
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist