Moftakhar, Roham

Moftakhar, Roham is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Suite 310, Columbia SC 29203-6849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Moftakhar, Roham can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Suite 310 Columbia SC 29203-6849
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036-129390 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 37893 South Carolina
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 47499 Wisconsin

Profile Details

NPI number 1184689515
LBN Legal business name Moftakhar, Roham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184689515 NPPES
South Carolina MEDICAID 378932

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