Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 86343 | SC |
Y | 207RP1001X | Pulmonary Disease | 86343 | SC |
NPI | 1003227976 |
---|---|
Provider Name | Dr. Abhijit Mahalingashetty |
First Address | Florence, SC 29502-3239 |
Second Address | Little River, SC 29566-8165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 20/09/2021 |