Soraya, Pa | |
25 Appian Cir Simpsonville SC 29681-3654 | |
(864) 254-9487 | |
(864) 254-9487 |
Full Name | Soraya, Pa |
---|---|
Speciality | Internal Medicine - Geriatric Medicine |
Location | 25 Appian Cir, Simpsonville, South Carolina |
Authorized Official Name and Position | Romin Bharat Shah (OWNER) |
Authorized Official Contact | 8642549487 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soraya, Pa 68 Global Dr Suite 100 Greenville SC 29607-4628 Ph: (864) 644-2700 | Soraya, Pa 25 Appian Cir Simpsonville SC 29681-3654 Ph: (864) 254-9487 |
NPI Number | 1235443938 |
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Provider Enumeration Date | 08/05/2010 |
Last Update Date | 10/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235443938 | NPI | - | NPPES |
31626 | Other | SC | MD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 31626 (South Carolina) | Primary |
Fairview Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Fairview Pointe Dr., Simpsonville, SC 29681 Phone: 864-967-4982 Fax: 864-967-8465 | |
Cvs Caremark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2580 Woodruff Rd, Simpsonville, SC 29681 Phone: 864-627-7229 |