Provider Demographics
NPI:1932159811
Name:TROUCHE, PERRY E (MD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:E
Last Name:TROUCHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 UNIVERSITY BLVD
Mailing Address - Street 2:STE 2-B
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9150
Mailing Address - Country:US
Mailing Address - Phone:843-572-9800
Mailing Address - Fax:843-572-9893
Practice Address - Street 1:9229 UNIVERSITY BLVD
Practice Address - Street 2:STE 2-B
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9150
Practice Address - Country:US
Practice Address - Phone:843-572-9800
Practice Address - Fax:843-572-9893
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC96142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCB91837Medicare UPIN