Individual
MALSHUNDRIA PROPHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
166 STONERIDGE DR, COLUMBIA, SC 29210-8239
(803) 461-3049
(803) 461-3428
Mailing address
166 STONERIDGE DR, COLUMBIA, SC 29210-8239
(803) 461-3049
(803) 461-3428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL39676
SC
207RH0003X
Hematology & Oncology Physician
Primary
39676
SC
207RH0003X
Hematology & Oncology Physician
LL39676
SC
Other
Enumeration date
02/21/2007
Last updated
07/13/2023
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