KEOWEE RADIOLOGY P A NPI 1821097825

NPI Information

  • NPI: 1821097825
  • Provider Name: KEOWEE RADIOLOGY P A
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 298 MEMORIAL DR
    SENECA, SC
    ZIP 29672
  • Phone: (864) 885-7113

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NPI Details

KEOWEE RADIOLOGY P A is a diagnostic radiology radiology in Seneca, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KEOWEE RADIOLOGY P A NPI is 1821097825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

298 MEMORIAL DR
SENECA, SC
ZIP 29672-443
Phone: (864) 885-7113

The provider's authorized official is Blake C Poleynard .
The authorized official title is President and has the following contact phone number (864) 885-7113.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 8/25/2010.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
17105MEDICARE PINSOUTH CAROLINA
23270MEDICAIDSOUTH CAROLINA
3CH9258OTHERRAILROAD MEDICARE

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: 11/21/2025

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