Individual
PADIGAR SHYAMANAND TANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23656
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
85494
SC
Other
Enumeration date
07/01/2016
Last updated
06/30/2021
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