Individual
ANIL OM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 WILLIAM H. JOHNSON STREET, SUITE 600, FLORENCE, SC 29506-2716
(843) 667-1891
(843) 665-2516
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 667-1891
(843) 665-2516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
17143
SC
207RI0011X
Interventional Cardiology Physician
Primary
17143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171433
—
SC
05
—
890569Z
—
NC
Enumeration date
04/28/2006
Last updated
04/15/2019
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