{"npi":"1457433252","type":"NPI-1","status":"active","name":{"display":"Irakli Khulordava M.D.","other":[],"first":"IRAKLI","last":"KHULORDAVA","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"SC","license":"29322"}]},"addresses":[{"purpose":"LOCATION","street_1":"819 N FANT ST","city":"ANDERSON","state":"SC","postal_code":"296215717","country_code":"US","phone":"8642611800","fax":"8642611856"},{"purpose":"MAILING","street_1":"819 N FANT ST","city":"ANDERSON","state":"SC","postal_code":"296215717","country_code":"US","phone":"8642611800","fax":"8642611856"}],"license":{"state":"SC","number":"29322"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"293220","state":"SC","issuer":null},{"type_code":"01","label":"Other","value":"P00137642","state":"SC","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070228000543","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"SC","pac_id":"7012829187"}]},"enumeration_date":"2006-10-20","last_updated":"2019-02-07","_meta":{"source":"NPPES","snapshot_date":"2019-02-07","doc_url":"https://findmynpi.com/api"}}