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
Fax: (803) 749-0050
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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