Individual
MR. VAIBHAV KAMDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6122
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100537
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2281
—
SC
Enumeration date
05/13/2013
Last updated
09/30/2013
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