Internal Medicine Specialist Group Llc

LBN: Internal Medicine Specialist Group Llc
Internal Medicine Specialist Group Llc is an health care organization with primary practice located at 225 S Herlong Ave Suite 230, Rock Hill SC 29732-2168. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine Specialist Group Llc can be contacted via phone (803) 366-3900, or through Sharma, Deovyaas via phone (803) 416-3710.

Contact Information

Primary practice address
225 S Herlong Ave Suite 230 Rock Hill SC 29732-2168
Phone: (803) 366-3900
Fax: (803) 366-1213
Website:
Map and Directions
Authorized official contact:
Name: Sharma, Deovyaas Doctor of Medicine (MD)
Phone: (803) 416-3710

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1952940223
LBN Legal business name Internal Medicine Specialist Group Llc
DBA Doing business as
Authorized official Sharma, Deovyaas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952940223 NPPES
South Carolina MEDICAID T79073

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