Physician Compare National (NPI:1346208568)

HEALTHCARE PROVIDER: SURBJINDER S GURAM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346208568
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759367071
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041117000122
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GURAM
	Individual professional last name
Provider First Name	SURBJINDER
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1759362072
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7182 WOODROW ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	IRMO
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	290632832
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8037491111
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420073
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEXINGTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420106
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PALMETTO HEALTH BAPTIST PARKRIDGE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	420086
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PALMETTO HEALTH BAPTIST
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	420018
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PALMETTO HEALTH RICHLAND
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y