Organization Name: | OAKVIEW MEDICAL ASSOCIATES LLC |
NPI Number: | 1104086818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NIVEDITA S BIJOOR (PRESIDENT OWNER) |
Mailing Address: | 215 Batesville Rd Suite B Simpsonville |
State: | SC US |
Postal Code: | 29681 |
Phone Number: | 8646270444 |
Fax Number: | 8646270555 |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 02/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 24857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |