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YASHASWI KOGURU M.D.
NPI 1891543872
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Active since May 07, 2024
809 82ND PKWY GRAND STAND MEDICAL CENTER, MYRTLE BEACH, SC 29572(843) 692-1118(843) 692-1122 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, May 7, 2024 (2 updates tracked since 2024).

About Yashaswi Koguru M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YASHASWI KOGURU M.D. (NPI 1891543872) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1891543872
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameYASHASWI KOGURUCredential: M.D.
Location Address809 82ND PKWY GRAND STAND MEDICAL CENTERMyrtle Beach, SC 29572
Mailing Address809 82nd Pkwy Grand Stand Medical Center, Gme OfficeMyrtle Beach, SC 29572 · (843) 692-1118 · Fax (843) 692-1122
Phone(843) 692-1118
Fax(843) 692-1122
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
✔ NPI 1891543872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
809 82ND PKWY GRAND STAND MEDICAL CENTER, Myrtle Beach, SC 29572
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yashaswi Koguru's NPI number?

The NPI number for Yashaswi Koguru is 1891543872. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Yashaswi Koguru located?

Yashaswi Koguru practices at 809 82nd Pkwy Grand Stand Medical Center, Myrtle Beach, SC 29572. The listed phone number is (843) 692-1118.

What is Yashaswi Koguru's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Yashaswi Koguru was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.