Kudchadkar Clinic
LBN: Kudchadkar Clinic
Kudchadkar Clinic is an health care organization with primary practice located at 880 West Moultrie St Suite 100, Winnsboro SC 29180. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty.
Kudchadkar Clinic can be contacted via phone (803) 635-6411, or through Kudchdkar, Anil J via phone (803) 635-6411.
Contact Information
Primary practice address
880 West Moultrie St Suite 100
Winnsboro SC 29180
Phone: (803) 635-6411
Fax: (803) 712-6651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 10853 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 10531 | South Carolina |
Profile Details
| NPI number | 1710181060 |
|---|---|
| LBN Legal business name | Kudchadkar Clinic |
| DBA Doing business as | |
| Authorized official | Kudchdkar, Anil J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710181060 | NPPES |
| South Carolina | MEDICAID | 105317 | |
| South Carolina | MEDICAID | 108537 |
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