Individual
VIJAY PAUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21636
SC
207RH0003X
Hematology & Oncology Physician
9801007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89063UV
—
NC
05
—
T57925
—
SC
Enumeration date
08/30/2005
Last updated
08/04/2011
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