Individual
RUTKUMAR P JANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 LONGTOWN RD, COLUMBIA, SC 29229-8550
(803) 419-4949
(803) 419-6445
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 419-4949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15409
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154095
—
SC
Enumeration date
11/25/2005
Last updated
11/06/2020
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