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NPI Code Detail

MEDICARE: KATHRYN BETH RAWDAN M.D.

MEDICARE: KATHRYN BETH RAWDAN M.D.
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician38705SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SCA681OTHERSCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740507581
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN BETH RAWDAN M.D.
Provider Business Mailing Address
First Line : 501 FOREST LN STE D
Second Line :
City : CLEMSON
State : SC
Zip : 29631-2621
Country : US
Telephone Number : 518-522-2669
Fax Number :
Provider Business Practice Location Address
First Line : 501 FOREST LN STE D
Second Line :
City : CLEMSON
State : SC
Zip : 29631-2621
Country : US
Telephone Number : 864-722-0369
Fax Number : 864-722-0370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2010
Last Update Date : 07/12/2022

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