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Individual

DR. SARFARAZ MUBARAK BANGLAWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MUSC DEPT OF OTOLARYNGOLOGY HEAD AND NECK, 135 RUTLEDGE AVENUE, CHARLESTON, SC 29425-0001
(843) 792-7165
Mailing address
135 RUTLEDGE AVE, MSC 550, CHARLESTON, SC 29425-8903
(843) 792-7165

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36261
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36261
SOUTH CAROLINA STATE LICENSE
SC
Enumeration date
09/04/2013
Last updated
10/17/2013
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