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

Yashaswi Koguru, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891543872

Yashaswi Koguru, MD is a Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
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

809 82nd Pkwy Grand Stand Medical Ctr
Myrtle Beach, SC 29572
Phone: (843) 692-1118
Fax: (843) 692-1122
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891543872
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2024
Last updated in NPPESSeptember 20, 2024

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