MICHAEL BRIAN LILLY M.D. NPI 1033147186

NPI Information

NPI: 1033147186
Provider Name: MICHAEL BRIAN LILLY, M.D.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Organization: UNIVERSITY MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
39 SABIN STREET
725 WALTON BLDG
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-0592
Get Directions

Michael Brian Lilly, M.D. is a medical oncology internal medicine in Charleston, SC with 49 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Michael Brian Lilly, M.D. NPI is 1033147186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

39 SABIN STREET
725 WALTON BLDG
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-0592

The NPI 1033147186 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 3/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	AL34690	SOUTH CAROLINA	No
2	207RX0202X	Internal Medicine	Medical Oncology	G84932	CALIFORNIA	No
3	207RX0202X	Internal Medicine	Medical Oncology	34690	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G849320	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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