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Individual

RYAN KIAN HAKIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
200 PATEWOOD DR, SUITE B350, GREENVILLE, SC 29615-3593
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
39370
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
393719
SC
Enumeration date
04/21/2008
Last updated
03/02/2021
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