Guram, Surbjinder S
Guram, Surbjinder S is an individual health care provider with primary practice located at 1 Wellness Blvd Ste 109 , Irmo SC 29063-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Guram, Surbjinder S can be contacted via phone (803) 749-1111.Contact Information
Primary practice address
1 Wellness Blvd Ste 109
Irmo SC 29063-2872
Phone: (803) 749-1111
Fax: (803) 749-0050
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11931 | South Carolina |
Profile Details
NPI number | 1346208568 |
---|---|
LBN Legal business name | Guram, Surbjinder S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | May 5th, 2024 - about 7 months 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 | 1346208568 | NPPES |
South Carolina | Other | 562124971 | CHAMPUS/TRICARE |
South Carolina | MEDICAID | 119311 | CHAMPUS/TRICARE |
South Carolina | Other | 562124971 | CHAMPUS/TRICARE |
South Carolina | Other | 110188005 | CHAMPUS/TRICARE |
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