MEDICARE: MIDLANDS HEALTH CENTER

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	111N00000X	Chiropractor	2879	SC
2	174400000X	Specialist	29291	SC
3	111N00000X	Chiropractor	1024	SC

General Provider Information

NPI Number	:	1235552837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDLANDS HEALTH CENTER

Provider Business Mailing Address
First Line	:	3106 DEVINE ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-1846
Country	:	US
Telephone Number	:	803-252-2255
Fax Number	:	803-252-5436

Provider Business Practice Location Address
First Line	:	3106 DEVINE ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-1846
Country	:	US
Telephone Number	:	803-252-2255
Fax Number	:	803-252-9295

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KIRAN SANDRAPATY
Credential	:	MD
Telephone Number	:	803-252-2255

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	06/09/2025

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Directions to “MIDLANDS HEALTH CENTER ” Practice Location

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