Provider Demographics
NPI:1497148746
Name:KABORDA, DARYA
Entity Type:Individual
Prefix:
First Name:DARYA
Middle Name:
Last Name:KABORDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 REGENCY RD
Mailing Address - Street 2:APT H5
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1800
Mailing Address - Country:US
Mailing Address - Phone:734-476-0888
Mailing Address - Fax:
Practice Address - Street 1:300 REGENCY RD
Practice Address - Street 2:APT H5
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1800
Practice Address - Country:US
Practice Address - Phone:734-476-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic