Active NPI
Sarfaraz Mubarak Banglawala, M.D.
- Otolaryngology Physician
- Charleston, SC
National Provider Identifier
1194150573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 36261
- Practice address
- Musc Dept of Otolaryngology Head and Neck
135 Rutledge Avenue
Charleston, SC 29425-0001 - Phone
- (843) 792-7165
- NPI assigned
- Sep 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 36261 | SC | Primary |
Addresses
Primary practice location
Musc Dept of Otolaryngology Head and Neck
135 Rutledge Avenue
Charleston, SC 29425-0001
Mailing address
135 Rutledge Ave
MSC 550
Charleston, SC 29425-8903
Phone (843) 792-7165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36261 | Other | SC | SOUTH CAROLINA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36261 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1194150573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE",
"address_2": "MSC 550",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-792-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MUSC DEPT OF OTOLARYNGOLOGY HEAD AND NECK",
"address_2": "135 RUTLEDGE AVENUE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294250001",
"telephone_number": "843-792-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGLAWALA",
"first_name": "SARFARAZ",
"middle_name": "MUBARAK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-04",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "36261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA STATE LICENSE",
"identifier": "36261",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.