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MEDICAL UNIVERSITY MEDICAL ASSOCIATES NPI 1669523528


NPI Information

NPI: 1669523528
Provider Name: MEDICAL UNIVERSITY MEDICAL ASSOCIATES
Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414
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MEDICAL UNIVERSITY MEDICAL ASSOCIATES is a transplant surgery in Charleston, SC. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee MEDICAL UNIVERSITY MEDICAL ASSOCIATES NPI is 1669523528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-908
Phone: (843) 792-1414

The provider's authorized official is Karyn Rae .
The authorized official title is Director and has the following contact phone number (843) 876-1344.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/30/2011.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3204F00000XTransplant SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TR0003MEDICAIDSOUTH CAROLINA

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: 4/28/2024

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