Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 38526 | SC |
NPI | 1013119288 |
---|---|
Provider Name | Dr. Chitra Nathan |
First Address | Greenville, SC 29605-4019 |
Second Address | Greenville, SC 29605-4019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013119288 | NPI (01) | |
385265 | (05) | SC |