Individual
ABDULLAH MOHAMMAD PERVAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1594 FREEDOM BLVD STE 100, FLORENCE, SC 29505-6046
(843) 674-4787
(843) 664-9863
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
91410
SC
207RC0000X
Cardiovascular Disease Physician
91410
SC
207RI0011X
Interventional Cardiology Physician
Primary
91410
SC
390200000X
Student in an Organized Health Care Education/Training Program
271492
MA
Other
Enumeration date
03/30/2017
Last updated
06/03/2024
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