Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mallikarjuna Bagewadi Ellur, MD

Individual provider Psychiatry Physician · NPI 1790125615

Dr. Mallikarjuna Bagewadi Ellur, MD is a Psychiatry in Greenwood, South Carolina. Qualified in 2005, 21 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
21
Licensed in
SC
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1325 Spring St
Greenwood, SC 29646-3860
Phone: (864) 725-4398
Fax: (864) 725-4399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1033 Edgefield St, Greenwood, SC 29646-3205 — (864) 227-3908

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 90953 (SC)

Record details

NPI number1790125615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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