Individual
PREMNAUTH RABINDRANAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 W FARIS RD STE 550, GREENVILLE, SC 29605-4286
(864) 455-6800
(864) 455-6825
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
45002
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
96082
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60957018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34279300
—
WI
Enumeration date
06/01/2005
Last updated
01/15/2026
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