Individual
DR. USAH LILAVIVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7519
Mailing address
635 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7519
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
10500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105004
—
SC
Enumeration date
09/29/2006
Last updated
06/05/2012
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