| |
1403 E Greenville St Ste D Anderson SC 29621-2285 | |
(443) 798-4080 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1403 E Greenville St Ste D, Anderson, South Carolina |
Authorized Official Name and Position | Vipin Verma (OWNER) |
Authorized Official Contact | 8647458989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1809 Anderson SC 29622 Ph: (864) 745-8989 | 1403 E Greenville St Ste D Anderson SC 29621-2285 Ph: (443) 798-4080 |
NPI Number | 1831975382 |
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Provider Enumeration Date | 08/31/2023 |
Last Update Date | 04/30/2024 |
Medicare PECOS PAC ID | 7012364276 |
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Medicare Enrollment ID | O20231109000230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831975382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Ravi Kant |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1720242183 PECOS PAC ID: 2466775838 Enrollment ID: I20141217000228 |
Provider Name | Deanne L Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356888671 PECOS PAC ID: 3577840206 Enrollment ID: I20170508001025 |
Provider Name | Vipin Verma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093156580 PECOS PAC ID: 9931494200 Enrollment ID: I20170822001299 |
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