Provider Demographics
NPI:1821369414
Name:RAJAPURKAR, MAYURI MOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MAYURI
Middle Name:MOHAN
Last Name:RAJAPURKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:135 RUTLEDGE AVE
Mailing Address - Street 2:MSC 550
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425
Mailing Address - Country:US
Mailing Address - Phone:843-792-0719
Mailing Address - Fax:843-792-0546
Practice Address - Street 1:135 RUTLEDGE AVE
Practice Address - Street 2:MSC 550
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425
Practice Address - Country:US
Practice Address - Phone:843-792-0719
Practice Address - Fax:843-792-0546
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL34075207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology