Individual
PRAVINA B SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Mailing address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2021036350
MO
2084P0800X
Psychiatry Physician
Primary
SC7926
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079266
—
SC
Enumeration date
07/10/2006
Last updated
11/03/2021
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