Provider Demographics
NPI:1962195222
Name:MAHARJAN, SARU
Entity type:Individual
Prefix:
First Name:SARU
Middle Name:
Last Name:MAHARJAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 CENTER ST APT B
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-1129
Mailing Address - Country:US
Mailing Address - Phone:507-313-4194
Mailing Address - Fax:
Practice Address - Street 1:57 ATKINSON RD
Practice Address - Street 2:
Practice Address - City:SUMRALL
Practice Address - State:MS
Practice Address - Zip Code:39482-9551
Practice Address - Country:US
Practice Address - Phone:507-313-4194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018192363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner