Individual
HIMAXI M MAISURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 PALMETTO PARK BLVD STE C, LEXINGTON, SC 29072-7969
(803) 356-0949
(803) 356-1795
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214609
—
SC
Enumeration date
06/23/2006
Last updated
08/24/2021
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