NPIMap

Organization Active NPI

Lowcountry Hematology & Oncology, P.a.

  • Specialist
  • Charleston, SC
National Provider Identifier
1669675716
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25927 Issued in SC
Legal business name
LOWCOUNTRY HEMATOLOGY & ONCOLOGY, P.A.
Practice address
2048 Charlie Hall Blvd
Charleston, SC 29414-5830
Phone
(843) 763-5104
Fax
(843) 763-5112
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohammad Daud Nawabi, M.D.
Title
Owner
Phone
(843) 881-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25927 SC Primary

Addresses

Primary practice location

2048 Charlie Hall Blvd
Charleston, SC 29414-5830

Mailing address

900 Bowman Rd
Suite 103
Mount Pleasant, SC 29464-3218
Phone (843) 881-5844

Other identifiers 1

IdentifierTypeStateIssuer
3284MedicaidSC

National Provider Directory

National Provider Directory

Locations

900 Bowman Rd
Ste 103
Mt Pleasant, SC 29464
Phone (843) 881-5844

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1669675716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BOWMAN RD",
            "address_2": "SUITE 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643218",
            "telephone_number": "843-881-5844",
            "fax_number": "843-881-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-763-5104",
            "fax_number": "843-763-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY HEMATOLOGY & ONCOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "NAWABI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "DAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-881-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "25927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3284",
            "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 May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.