Individual
DR. VIDYA AJARADDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 PELHAM ROAD, GREENVILLE, SC 29615-3300
(864) 234-5800
(864) 234-5881
Mailing address
800 PELHAM ROAD, GREENVILLE, SC 29615-3300
(864) 234-5800
(864) 234-5881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32430
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324303
—
SC
Enumeration date
08/08/2006
Last updated
10/09/2015
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