Individual
DR. MAYANK H. DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1035 CHERAW ST., BENNETTSVILLE, SC 29512
(843) 544-4098
Mailing address
7901 FARROW RD, COLUMBIA, SC 29203-3220
(843) 544-4098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD21346
SC
2084F0202X
Forensic Psychiatry Physician
21346
SC
2084P0800X
Psychiatry Physician
Primary
21346
SC
2084P0804X
Child & Adolescent Psychiatry Physician
21346
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213469
—
SC
Enumeration date
07/08/2006
Last updated
06/17/2020
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