Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 123287 | OH |
N | 111NI0900X | Internist | 123287 | OH |
N | 207R00000X | Internist | 46000 | KY |
N | 111NI0900X | Internist | 46000 | KY |
Y | 207RG0100X | Gastroenterologist | 51932 | SC |
NPI | 1043539471 |
---|---|
Provider Name | Dr. Hiren Vallabh |
First Address | Greenville, SC 29615-6321 |
Second Address | Greenville, SC 29615-6321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2010 |
Last Update Date | 18/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
519327 | (05) | SC |