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NPI Code Detail

MEDICARE: ASHA PARDASANI JAMES M.D.

MEDICARE:   ASHA PARDASANI JAMES  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
1207N00000XDermatology Physician22241SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1070017290OTHERSCRAILROAD MEDICARE

General Provider Information

NPI Number : 1669445235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHA PARDASANI JAMES M.D.
Provider Business Mailing Address
First Line : 3600 FOREST DR STE 400
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-4057
Country : US
Telephone Number : 803-779-7316
Fax Number : 803-343-2538
Provider Business Practice Location Address
First Line : 3600 FOREST DR STE 400
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-4057
Country : US
Telephone Number : 803-779-7316
Fax Number : 803-343-2538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/07/2023

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Directions to “ ASHA PARDASANI JAMES M.D.” Practice Location

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