Organization
SAFDAR H ARASTU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFDAR H ARASTU M.D. (PRESIDENT)
(803) 772-3354
Entity
Organization
Contact information
Practice address
239 LARKSPUR RD, COLUMBIA, SC 29212-1313
(803) 772-3354
Mailing address
239 LARKSPUR RD, COLUMBIA, SC 29212-1313
(803) 772-3354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9648
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096489
—
SC
Enumeration date
10/16/2006
Last updated
08/22/2020
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