ILGIZAR KHAIRUTDINOV

CHARLESTON, SC
NPI1700523172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  LL87648)
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
ILGIZAR KHAIRUTDINOV MD
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-2731
Mailing Address
ILGIZAR KHAIRUTDINOV MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number:
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