Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 33016 | SC |
N | 111NI0900X | Internist | 33016 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | 2005014016 | MO |
N | 207RC0000X | Internist - Cardiovascular Disease | 33016 | SC |
Y | 207RI0011X | Interventional Cardiology | 33016 | SC |
NPI | 1104945955 |
---|---|
Provider Name | Thomas Mark Todoran |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-0100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 30/09/2010 |