Individual
SABI ILLANGAKOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 MARION ST, COLUMBIA, SC 29201-2113
(803) 898-0123
(803) 898-4892
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216199
—
SC
05
—
327877
—
SC
Enumeration date
06/18/2006
Last updated
06/04/2012
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