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

Keagan Andrew Ashalintubbi

Individual provider Critical Care Medicine Registered Nurse · NPI 1073441051

Keagan Andrew Ashalintubbi is a Critical Care Medicine Registered Nurse in Moncks Corner, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

106 Long Trail Way
Moncks Corner, SC 29461-8922
Phone: (843) 323-6596
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 269826 (SC)

Record details

NPI number1073441051
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026