Individual
PERASANTH SOVUNTHARARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 W FARIS RD, GREENVILLE, SC 29605-4289
(864) 455-7800
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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