Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 33125 | AL |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 83098 | SC |
NPI | 1215294053 |
---|---|
Provider Name | Daniel Nathan Pasko |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2012 |
Last Update Date | 10/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
830989 | (05) | SC |