Amaechi, Prince Keside
Amaechi, Prince Keside is an individual health care provider with primary practice located at 322 N Pine St , Spartanburg SC 29302-1631. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Amaechi, Prince Keside can be contacted via phone (864) 582-5099.Contact Information
Primary practice address
322 N Pine St
Spartanburg SC 29302-1631
Phone: (864) 582-5099
Fax: (864) 327-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32684 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101240360 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 32684 | South Carolina |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 32684 | South Carolina |
Profile Details
| NPI number | 1750493250 |
|---|---|
| LBN Legal business name | Amaechi, Prince Keside |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750493250 | NPPES |
| South Carolina | MEDICAID | 326846 | |
| South Carolina | Other | P00899815 | |
| South Carolina | MEDICAID | 5916344 | |
| South Carolina | MEDICAID | GP4718 | |
| South Carolina | Other | P01079099 |
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