Individual
PRABAL K. GUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 WILLIAM H. JOHNSON STREET, SUITE 600, FLORENCE, SC 29506-2716
(843) 667-1891
(843) 665-2516
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 667-1891
(843) 665-2516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23724
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
23724
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237247
—
SC
Enumeration date
04/28/2006
Last updated
02/22/2021
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