Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 35031 | SC |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 204632 | LA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 35031 | SC |
NPI | 1003032202 |
---|---|
Provider Name | Neha Chowdhary |
First Address | Greenville, SC 29601-2842 |
Second Address | Greer, SC 29650-2455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
350319 | (05) | SC |