Search › South Carolina › 103TC0700X
Heidar Modaresi, PHD
NPI 1619920980 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3060 Wimbledon Ln
Rock Hill, SC 29732 - Phone
- (803) 366-9791
- Fax
- (803) 753-9522
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
101YM0800X
103TB0200X
103TB0200X
103TC0700X
103T00000X
103T00000X - Licence states on file
- NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina