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NPI Code Detail

MEDICARE: GRISHMA PANKHANIA

MEDICARE: GRISHMA PANKHANIA
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
1156FX1800XOptician249005SC

General Provider Information

NPI Number : 1518767524
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRISHMA PANKHANIA
Provider Business Mailing Address
First Line : 2751 BEAVER RUN BLVD
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-5385
Country : US
Telephone Number : 843-215-3694
Fax Number : 843-215-3738
Provider Business Practice Location Address
First Line : 2751 BEAVER RUN BLVD
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-5381
Country : US
Telephone Number : 843-215-3694
Fax Number : 843-215-3738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/18/2025

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Directions to “ GRISHMA PANKHANIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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