1578670220 NPI number — MR. RANJIV KUMAR SAINI M.D.

Table of content: MR. RANJIV KUMAR SAINI M.D. (NPI 1578670220)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578670220 NPI number — MR. RANJIV KUMAR SAINI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAINI
Provider First Name:
RANJIV
Provider Middle Name:
KUMAR
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578670220
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 RIVER LANDING DR
Provider Second Line Business Mailing Address:
CONDO A 406
Provider Business Mailing Address City Name:
DANIEL ISLAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29492-8282
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-364-6473
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 RIVER LANDING DR
Provider Second Line Business Practice Location Address:
CONDO A406
Provider Business Practice Location Address City Name:
DANIEL ISLAND
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29492-8282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-364-6473
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  19859 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0711110 02 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100073160 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1021703800001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 198592 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0711110 03 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2923457 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00971815 . This is a "RXR MEDICARE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




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