Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264832-1205 | UT |
N | 111NI0900X | Internist | 264832-1205 | UT |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 37313 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | 264832-1205 | UT |
N | 207RC0000X | Internist - Cardiovascular Disease | 37313 | SC |
NPI | 1861447989 |
---|---|
Provider Name | Dr. Sheldon Ellis Litwin |
First Address | Charleston, SC 29425-8908 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 15/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002083723 | (05) | NV |
003042900 | (05) | ID |
003100578A | (05) | GA |
03575357 | (05) | NM |
2180 | UNIVERSITY HEALTH PLANS (01) | UT |
D0186 | (05) | UT |
D44171 | (02) | |
GA1130 | (05) | SC |