Intaphan, Jared M

Intaphan, Jared M is an sole proprietor health care provider with primary practice located at 9150 Medcom St Ste B , North Charleston SC 29406. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Intaphan, Jared M can be contacted via phone (843) 572-3330.

Contact Information

Primary practice address
9150 Medcom St Ste B North Charleston SC 29406
Fax:
Website:

Profile Details

NPI number 1639486160
LBN Legal business name Intaphan, Jared M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2010
Last updated Jun 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639486160 NPPES
South Carolina MEDICAID 394451

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