Derderian, Sarkis
Derderian, Sarkis is an individual health care provider with primary practice located at 1875 Harden St , Columbia SC 29204-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Derderian, Sarkis can be contacted via phone (803) 256-0464.Contact Information
Primary practice address
1875 Harden St
Columbia SC 29204-1014
Phone: (803) 256-0464
Fax: (803) 254-5121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 384 | South Carolina |
Profile Details
| NPI number | 1427036375 |
|---|---|
| LBN Legal business name | Derderian, Sarkis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Mar 17th, 2022 - about 3 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 | 1427036375 | NPPES |
| South Carolina | MEDICAID | 003846 |
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