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NPI Code Detail

MEDICARE: DR. PUJA SUKHWANI ELIAS M.D.

MEDICARE:  DR. PUJA SUKHWANI ELIAS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianTL31655SC

General Provider Information

NPI Number : 1780824755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PUJA SUKHWANI ELIAS M.D.
Provider Business Mailing Address
First Line : 25 COURTENAY DR # 7100A
Second Line : MSC 290
City : CHARLESTON
State : SC
Zip : 29425-8911
Country : US
Telephone Number : 843-876-0321
Fax Number :
Provider Business Practice Location Address
First Line : 25 COURTENAY DR
Second Line : ART 7100A MSC 290
City : CHARLESTON
State : SC
Zip : 29425-8911
Country : US
Telephone Number : 843-876-4701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2009
Last Update Date : 07/02/2012

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Directions to “ DR. PUJA SUKHWANI ELIAS M.D.” Practice Location

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