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

Mamikon Gukasov, DO

Individual provider Anesthesiology Physician · NPI 1679929103

Mamikon Gukasov, DO is an Anesthesiology in Charleston, South Carolina. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Carolina Wren Anesthesia Services LLC, a 32-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
SC
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8905
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 39233 (SC)

Record details

NPI number1679929103
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Carolina Wren Anesthesia Services Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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