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AJAY KUMAR GADE MD NPI 1649777103


NPI Information

NPI: 1649777103
Provider Name: AJAY KUMAR GADE, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: SOUTHEASTERN HOSPITALIST SERVICES PC

PECOS Registration: Yes

Address:
809 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 692-1000
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Ajay Kumar Gade, MD is a student in an organized health care education training program in Myrtle Beach, SC with 10 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ajay Kumar Gade, MD NPI is 1649777103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

809 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572-607
Phone: (843) 692-1000

The NPI 1649777103 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 4/11/2018 and was last updated on 6/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.