Individual
AILI SHAHIDPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 876-8023
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL92660
SC
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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