Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 21820 | SC |
N | 207XS0117X | Orthopaedic Spine Surgeon | 200200662 | NC |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 21820 | SC |
NPI | 1053311134 |
---|---|
Provider Name | Dr. Rakesh Pravin Chokshi |
First Address | Florence, SC 29502-3239 |
Second Address | Florence, SC 29506-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 01/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89064FJ | N.C. MEDICAID (01) | |
89132FA | (05) | NC |
G97194 | (02) | SC |
G97194-1271 | (02) | SC |
T58791 | (05) | SC |