Provider Demographics
NPI:1750025441
Name:PASKAR, SHRUTI (ND)
Entity type:Individual
Prefix:DR
First Name:SHRUTI
Middle Name:
Last Name:PASKAR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 2ND AVE S STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-8105
Mailing Address - Country:US
Mailing Address - Phone:804-404-3292
Mailing Address - Fax:
Practice Address - Street 1:1000 2ND AVE S STE 300
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-8105
Practice Address - Country:US
Practice Address - Phone:804-404-3292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134128175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath