Individual
RUSHIRAJ CHAITANYA LAIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 HARDEN ST, COLUMBIA, SC 29203
(803) 737-5300
Mailing address
101 PLAYGROUND RD, BLYTHEWOOD, SC 29016-7658
(423) 653-3043
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
38447
SC
2084P0805X
Geriatric Psychiatry Physician
50045
TN
Other
Enumeration date
07/27/2009
Last updated
06/25/2024
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