Individual
DR. HENRY AYIKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Mailing address
1481 TOBIAS GADSON BLVD, SUITE 2A, CHARLESTON, SC 29407-4794
(843) 766-5633
(843) 766-5634
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23994
SC
208M00000X
Hospitalist Physician
23994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239940
—
SC
01
—
P00867380
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/25/2006
Last updated
05/02/2022
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