Organization
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID REZA BAHADORI M.D. (RESIDENT)
(843) 792-3221
Entity
Organization
Contact information
Practice address
96 JONATHAN LUCAS ST, SUITE 309, CHARLESTON, SC 29425-8900
(843) 792-3221
(843) 792-8626
Mailing address
96 JONATHAN LUCAS ST, SUITE 309, CHARLESTON, SC 29425-8900
(843) 792-3221
(843) 792-8626
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LL24898
SC
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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