Healthcare Provider Details

I. General information

NPI: 1982263729
Provider Name (Legal Business Name): NEELAM JITTIN MULJI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GENERAL SURGERY 2 MEDICAL PARK, STE 300
COLUMBIA SC
29203
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 803-545-5800
  • Fax: 803-928-0492
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number97949
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: