Individual
ANISH ATULKUMAR BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8403
Mailing address
4561 FARM LAKE DR, MYRTLE BEACH, SC 29579-6599
(304) 388-5590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40684
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2014
Last updated
03/23/2026
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