IndividualActive
Ashish Nicodemus, MD
NPI 1699511691 · Vascular & Interventional Radiology Physician · Charleston, SC
Provider details
- NPI number
- 1699511691
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MMD.92821 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
268 Alexandra Dr
Mt Pleasant, SC 29464-2863
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.