Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORTERESHICE SHUNTA BRABHAM
Active Sole ProprietorPORTERESHICE SHUNTA BRABHAM is a Health Maintenance Organization healthcare provider located in FAIRFAX, South Carolina. NPI 1528309606 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · FAIRFAX, SC
Registration Details
- NPI Number
- 1528309606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2013 (13.454016884174 yrs)
- Last Updated
- Mar 14, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
345 AMELIA STFAIRFAX, SC, 298275967Browse SC providers · Browse ZIP 29827
- Phone
- 8036827110
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.