Provider Demographics
NPI:1821295478
Name:DR. RAUT AND ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. RAUT AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PREMANAND
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-377-1171
Mailing Address - Street 1:830 DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-7700
Mailing Address - Country:US
Mailing Address - Phone:803-377-1171
Mailing Address - Fax:803-377-1172
Practice Address - Street 1:830 DAVIS DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-7700
Practice Address - Country:US
Practice Address - Phone:803-377-1171
Practice Address - Fax:803-377-1172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10208207V00000X
SC10209208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty