Individual
DR. MOHAMED SHABIR BHARADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1326 BUSH RIVER RD, AT WALMART VISION CENTER, COLUMBIA, SC 29210-6804
(803) 750-4949
(803) 750-7172
Mailing address
PO BOX 21203, COLUMBIA, SC 29221-1203
(803) 750-4949
(803) 750-7172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1047
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10478
—
SC
Enumeration date
04/17/2006
Last updated
04/25/2008
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