Individual
DR. ALISHER DADABAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(216) 280-7299
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
0101255168
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2008
Last updated
03/30/2021
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