Koli, Vijay A

Koli, Vijay A is an individual health care provider with primary practice located at 131 Sunset Ct , West Columbia SC 29169-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koli, Vijay A can be contacted via phone (803) 796-2222.

Contact Information

Primary practice address
131 Sunset Ct West Columbia SC 29169-2429
Fax: (803) 796-7839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20503 South Carolina

Profile Details

NPI number 1700835493
LBN Legal business name Koli, Vijay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 9th, 2020 - about 5 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 1700835493 NPPES
South Carolina MEDICAID 205030

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