Individual
DR. KAMRAN BORHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S. HERLONG AVE., SUITE G, ROCK HILL, SC 29732-1182
(803) 909-6300
(803) 909-6310
Mailing address
200 S. HERLONG AVE, SUITE G, ROCK HILL, SC 29732-6548
(803) 909-6300
(803) 909-6310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
122154
NC
208600000X
Surgery Physician
Primary
12626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122154
LICENSE NUMBER
NC
05
—
126269
—
SC
05
—
890509X
—
NC
Enumeration date
03/27/2006
Last updated
12/23/2013
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