Individual
DR. SHYAM CHIRRAVOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS MD
Contact information
Practice address
1600 PARK CIR, # 316, COLUMBIA, SC 29201-4158
(803) 237-5741
Mailing address
1600 PARK CIR, #316, COLUMBIA, SC 29201-4158
(803) 237-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9851
ZZ
207RN0300X
Nephrology Physician
9851
ZZ
Other
Enumeration date
02/12/2011
Last updated
02/12/2011
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