Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101022246 | MI |
N | 111NI0900X | Internist | 5101022246 | MI |
N | 207R00000X | Internist | 83344 | SC |
N | 111NI0900X | Internist | 83344 | SC |
N | 2086S0129X | Vascular Surgeon | 83344 | SC |
NPI | 1023459682 |
---|---|
Provider Name | Arian John Moshref |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-6324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2013 |
Last Update Date | 02/02/2022 |