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NPI Code Detail

MEDICARE: JULIA IMAN MD

MEDICARE: JULIA IMAN MD
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
1207R00000XInternal Medicine PhysicianLL92803SC

General Provider Information

NPI Number : 1336995711
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA IMAN MD
Provider Business Mailing Address
First Line : 9330 MEDICAL PLAZA DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9104
Country : US
Telephone Number : 843-797-7000
Fax Number :
Provider Business Practice Location Address
First Line : 9330 MEDICAL PLAZA DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9104
Country : US
Telephone Number : 843-797-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2024
Last Update Date : 05/21/2026

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