MEDICARE: DR. AARON PARTHA SARATHY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	2006	SC

General Provider Information

NPI Number	:	1184695355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON PARTHA SARATHY DMD

Provider Business Mailing Address
First Line	:	225 DISTANT ISLAND DR
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29907-1558
Country	:	US
Telephone Number	:	843-986-1071
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 DISTANT ISLAND DR
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29907-1558
Country	:	US
Telephone Number	:	843-986-1071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	02/04/2010

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