| Paradigm Medical Services,pc | |
|
110 Perpetual Square Drive Anderson SC 29621 | |
| (864) 261-9888 | |
| (864) 226-0407 |
| Full Name | Paradigm Medical Services,pc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Perpetual Square Drive, Anderson, South Carolina |
| Authorized Official Name and Position | Sidharth C Patel (PHYSICIAN) |
| Authorized Official Contact | 8642619888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Medical Services,pc 110 Perpetual Square Drive Anderson SC 29621 Ph: (864) 261-9888 | Paradigm Medical Services,pc 110 Perpetual Square Drive Anderson SC 29621 Ph: (864) 261-9888 |
| NPI Number | 1053483966 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 2163317249 |
|---|---|
| Medicare Enrollment ID | O20040218000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053483966 | NPI | - | NPPES |
| GP1988 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SC12767 (South Carolina) | Primary |
| Provider Name | Sidharth Chandubhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457306136 PECOS PAC ID: 7315832490 Enrollment ID: I20100610000130 |
| Provider Name | Crystal L Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760939110 PECOS PAC ID: 8820355795 Enrollment ID: I20171130002257 |
| Provider Name | Morgan Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881157667 PECOS PAC ID: 4688917669 Enrollment ID: I20190514002141 |
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