Individual
ALI M DAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 HARDEN ST, COLUMBIA, SC 29203-7107
(803) 737-5300
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7938
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079382
—
SC
Enumeration date
07/09/2006
Last updated
02/26/2009
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