Brandon Ithiel Esianor, MD is a
Student In An Organized Health Care Education/training Program physician based in Charleston, South Carolina. Brandon Ithiel Esianor is licensed to practice in * (Not Available) (license number ) and his current practice location is 171 Ashley Ave, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 792-1414.
NPI number for Brandon Ithiel Esianor is 1083111645 and his current mailing address is Po Box 751461, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083111645.
Physician's Profile
| Full Name | Brandon Ithiel Esianor |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 171 Ashley Ave, Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083111645
- Provider Enumeration Date: 04/10/2018
- Last Update Date: 07/18/2024
Medical Identifiers
Medical identifiers for Brandon Ithiel Esianor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083111645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 91595 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Ithiel Esianor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandon Ithiel Esianor, MD
Po Box 751461,
Charlotte, NC 28275-1461
Ph: () - | Brandon Ithiel Esianor, MD
171 Ashley Ave,
Charleston, SC 29425
Ph: (843) 792-1414 |
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