Healthcare Provider Details

I. General information

NPI: 1447415211
Provider Name (Legal Business Name): ANIL PUROHIT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 12/20/2022
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2728 SUNSET BLVD STE 300
WEST COLUMBIA SC
29169-4815
US

IV. Provider business mailing address

PO BOX 743904
ATLANTA GA
30374-3904
US

V. Phone/Fax

Practice location:
  • Phone: 803-744-4900
  • Fax:
Mailing address:
  • Phone: 803-296-7320
  • Fax: 803-296-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number51459
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number51459
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: