Individual
ABHIRAM SHYAMSUNDAR HAROHALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001257174
VA
207L00000X
Anesthesiology Physician
27282
SC
367500000X
Certified Registered Nurse Anesthetist
27282
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
7505
NC
Other
Enumeration date
03/06/2022
Last updated
10/04/2024
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