Kassur, Michael M

Kassur, Michael M is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kassur, Michael M can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35.063424 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 23670 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.063424 Ohio

Profile Details

NPI number 1508876491
LBN Legal business name Kassur, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 29th, 2012 - about 13 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 1508876491 NPPES
South Carolina MEDICAID 1760596480
South Carolina MEDICAID 0884655

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