Individual
SHOHREH SOBOUTIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2995 REIDVILLE RD STE 210, SPARTANBURG, SC 29301-5631
(864) 253-8140
(864) 560-7313
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33499
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334999
—
SC
Enumeration date
03/31/2011
Last updated
04/06/2026
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