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Individual

CANDIAH THIAGARAJAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 898-8405
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8405

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10305
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103051
SC
Enumeration date
11/22/2006
Last updated
12/19/2017
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