Individual
KIRAN RAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 GARNERS FERRY RD, COLUMBIA, SC 29209-1603
(803) 695-6015
(803) 695-8065
Mailing address
6500 GARNERS FERRY RD, COLUMBIA, SC 29209-1603
(803) 695-6015
(803) 695-8065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011061
SC
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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