Dr Kamran Borhanian, MD | |
200 S. Herlong Ave., Suite G, Rock Hill, SC 29732-1182 | |
(803) 909-6300 | |
(803) 909-6310 |
Full Name | Dr Kamran Borhanian |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 200 S. Herlong Ave., Rock Hill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053371609 | NPI | - | NPPES |
126269 | Medicaid | SC | |
122154 | Other | NC | LICENSE NUMBER |
890509X | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 12626 (South Carolina) | Primary |
208600000X | Surgery | 122154 (North Carolina) | Secondary |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Piedmont Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613 |
Mailing Address | Practice Location Address |
---|---|
Dr Kamran Borhanian, MD 200 S. Herlong Ave, Suite G, Rock Hill, SC 29732-6548 Ph: (803) 909-6300 | Dr Kamran Borhanian, MD 200 S. Herlong Ave., Suite G, Rock Hill, SC 29732-1182 Ph: (803) 909-6300 |
Dr. Joliette Nicole Grace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Herlong Ave S Ste G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Shamly Venus Dhiman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Manthan Dipak Makadia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 804-324-5256 | |
Dr. Christopher W Schroeder, MD Surgery Medicare: Medicare Enrolled Practice Location: 1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Robert D Randall Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1665 Herlong Ct, Suite A, Rock Hill, SC 29732 Phone: 803-329-8500 Fax: 803-329-8511 | |
Corey K Crain, MD Surgery Medicare: Medicare Enrolled Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 |