Balachandran, Sivanthan
Balachandran, Sivanthan is an individual health care provider with primary practice located at 834 Farrar Drive , Conway SC 29526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Balachandran, Sivanthan can be contacted via phone (843) 347-9487.Contact Information
Primary practice address
834 Farrar Drive
Conway SC 29526
Phone: (843) 347-9487
Fax: (843) 347-9574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 22373 | South Carolina |
Profile Details
| NPI number | 1699840322 |
|---|---|
| LBN Legal business name | Balachandran, Sivanthan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1699840322 | NPPES |
| South Carolina | MEDICAID | GP1049 |
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