Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 8282 | SC |
NPI | 1033171236 |
---|---|
Provider Name | Dr. Bhavana R Yajnik |
First Address | Columbia, SC 29201-2923 |
Second Address | Columbia, SC 29201-2923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 11/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F10032 | (02) | SC |