DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1073626073

NPI Code Detail

MEDICARE: AZIM EBUN SURKA MD

MEDICARE: AZIM EBUN SURKA MD

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
1	207R00000X	Internal Medicine Physician	104498	NC
2	207RP1001X	Pulmonary Disease Physician	29796	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073626073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZIM EBUN SURKA MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 PATEWOOD DR STE B300
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-6338
Country	:	US
Telephone Number	:	864-454-4200
Fax Number	:	864-454-4205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	05/16/2025

Similar Medicare Providers

1649217704 — FADI FOUAD NASSIF M.D.
Practice Location Address:

200 PATEWOOD DR STE B300
GREENVILLE, SC
29615-6338

Practice Phone: 864-454-4200
Practice Fax: 864-454-4205

1437442811 — ANAND PARIYADATH MD
Practice Location Address:

200 PATEWOOD DR STE B300
GREENVILLE, SC
29615-6338

Practice Phone: 864-454-4200
Practice Fax: 864-454-4205

1124557665 — SAMUEL LEE DICKEY MD
Practice Location Address:

200 PATEWOOD DR STE B300
GREENVILLE, SC
29615-6338

Practice Phone: 864-454-4200
Practice Fax: 864-454-4205

1730128307 — WILLIAM DANIEL CURRAN M.D.
Practice Location Address:

200 PATEWOOD DR STE B300
GREENVILLE, SC
29615-6338

Practice Phone: 864-454-4200
Practice Fax: 864-454-4205

1952574410 — CHRISTOPHER JAMES VAUGHAN M.D.
Practice Location Address:

200 PATEWOOD DR STE B300
GREENVILLE, SC
29615-6338

Practice Phone: 864-454-4200
Practice Fax: 864-454-4205

1659699171 — DANIEL TOWNSEND MATTHEWS MD
Practice Location Address:

200 PATEWOOD DR STE B300
GREENVILLE, SC
29615-6338

Practice Phone: 864-454-4200
Practice Fax: 864-454-4205

Directions to “ AZIM EBUN SURKA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.