Individual
NAMRATA M SHIDHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 788-1153
(803) 933-3045
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 545-5014
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-01424
NC
207Q00000X
Family Medicine Physician
27439
SC
Other
Enumeration date
05/27/2006
Last updated
03/05/2025
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