Individual
RAJENDRA SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 WILSON RD, NEWBERRY, SC 29108-3050
(803) 276-2186
Mailing address
2400 ASHLAND RD APT J4, COLUMBIA, SC 29210-5044
(803) 276-2186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12373
NC
363A00000X
Physician Assistant
Primary
PA3648
SC
363AS0400X
Surgical Physician Assistant
020141
NY
Other
Enumeration date
09/20/2016
Last updated
04/19/2023
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