Individual provider · Type 1 NPI
Mauricio Bastos Pereira, MD, PhD
Retina Specialist (Ophthalmology) Physician · Charleston, SC
NPI number
1841976412
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8905
Fax (843) 792-0720
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | AL93116 (SC) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | AL93116 (SC) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1841976412
Mauricio Bastos Pereira, MD, PhD's National Provider Identifier is 1841976412, issued on Jun 27, 2023. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Charleston, SC. The record was last updated on Aug 14, 2024.