Healthcare Provider Details
I. General information
NPI: 1770555872
Provider Name (Legal Business Name): ARUMUGAM THANUMALAYA PERUMAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/02/2006
Last Update Date: 11/22/2024
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SC HOUSE CALLS INC. 111 DOCTORS CIR
COLUMBIA SC
29203
US
IV. Provider business mailing address
SC HOUSE CALLS INC. 111 DOCTORS CIR
COLUMBIA SC
29203
US
V. Phone/Fax
- Phone: 800-491-0909
- Fax: 803-936-4102
- Phone: 800-491-0909
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 39609 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 08970 |
| License Number State | RI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 39609 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: