PAVANI THOTAKURA SHAH

GREENVILLE, SC
NPI1689920464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  82380)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125.060992)
2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  2017-01250)
Enumeration Date2012-07-30
Last Update Date2022-12-07
Business Address
PAVANI THOTAKURA SHAH M.D.
1210 W FARIS RD
GREENVILLE, SC 29605-4444
Phone number: 864-522-1800
Mailing Address
PAVANI THOTAKURA SHAH M.D.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603