Individual
SAPNA BAZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S, MD
Contact information
Practice address
96 JONATHAN LUCAS ST, SUITE 418, CHARLESTON, SC 29425-8900
(843) 792-3072
Mailing address
45 SYCAMORE AVE, APT # 1423, CHARLESTON, SC 29407-6710
(843) 513-8674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL25970
SC
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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