Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD85554 | SC |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD85554 | SC |
NPI | 1245626977 |
---|---|
Provider Name | Ardalan Sayan |
First Address | Dillon, SC 29536-2549 |
Second Address | Dillon, SC 29536-2549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 27/07/2021 |