Individual
TARUN PARVATANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5275
Mailing address
4085 CALDERWOOD DR APT 301, AIKEN, SC 29801-1130
(706) 631-6948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88186
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88186
STATE LICENSE
SC
Enumeration date
06/15/2022
Last updated
06/15/2022
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