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1548746803
ISMAIL MIKDAT KABAKUS
CHARLESTON, SC
NPI
1548746803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC MMD.61251)
Enumeration Date
2018-07-19
Last Update Date
2018-09-28
Business Address
ISMAIL MIKDAT KABAKUS M.D. Ph.D.
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425-8900
Phone number: 843-830-6729
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Mailing Address
ISMAIL MIKDAT KABAKUS M.D. Ph.D.
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-3147
Phone number: 843-792-2396
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