Sarkis Derderian, DO | |
1875 Harden St, Columbia, SC 29204-1014 | |
(803) 256-0464 | |
(803) 254-5121 |
Full Name | Sarkis Derderian |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 1875 Harden St, Columbia, 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 |
---|---|---|---|
1427036375 | NPI | - | NPPES |
003846 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 384 (South Carolina) | Primary |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Sarkis Derderian, DO 1875 Harden St, Columbia, SC 29204-1014 Ph: () - | Sarkis Derderian, DO 1875 Harden St, Columbia, SC 29204-1014 Ph: (803) 256-0464 |
William Cole Andrew, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |