Healthcare Provider Details

I. General information

NPI: 1811814700
Provider Name (Legal Business Name): ANUJ GHIMIREY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 8TH DIVISION RD
COLUMBIA SC
29207-5700
US

IV. Provider business mailing address

1380 DAYTON RD
HARRISBURG PA
17113-1003
US

V. Phone/Fax

Practice location:
  • Phone: 803-751-5688
  • Fax:
Mailing address:
  • Phone: 717-623-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045955
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: