| NPI | 1104123835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINA BALCHANDANI Owner 843-682-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2016-03-17 |