Individual
SIRAJ F. ABDULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3209 COLONIAL DRIVE, FAMILY MEDICINE CENTER, COLUMBIA, SC 29203-6809
(803) 434-6116
(803) 434-8478
Mailing address
3209 COLONIAL DRIVE, FAMILY MEDICINE CENTER, COLUMBIA, SC 29203-6894
(803) 434-6113
(803) 434-7231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1396
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013960
—
SC
Enumeration date
06/21/2010
Last updated
02/24/2015
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