Associated Medical Specialists, Pa, NPI 1063432391
Hematology & Oncology Physician in Conway, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063432391
NPI Entity Type Organization
Provider Name Associated Medical Specialists, Pa
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 817 Farrar Dr, Conway, SC, US
Provider Mailing Address 8121 Rourk St, Myrtle Beach, SC, US, 295724128
Is Sole Proprietor? No
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Organization Official

Official Name MR. MD Vijay Paudel
Official Position PRESIDENT
Phone 843-692-5000

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 11181
License State SC
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Other Organization Name

COASTAL CANCER CENTER
Doing Business As

Business Address

Associated Medical Specialists, Pa
817 Farrar Dr

Conway, SC, US

Phone: 843-234-1660
Fax: 843-692-5015

Mailing Address

Associated Medical Specialists, Pa
8121 Rourk St
Myrtle Beach, SC, US
ZIP 295724128
Phone: 843-692-5000
Fax: 843-692-5015

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
790248N NC MEDICAID 05
GP2750 SC MEDICAID 05

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