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NPI Code Detail

MEDICARE: DR. NITIN GAIKWAD M.D.

MEDICARE: DR. NITIN GAIKWAD 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
1207R00000XInternal Medicine Physician17790SC
2207RS0012XSleep Medicine (Internal Medicine) Physician17790SC

Other Identifiers

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

General Provider Information

NPI Number : 1457311433
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NITIN GAIKWAD M.D.
Provider Business Mailing Address
First Line : 800 PELHAM RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3300
Country : US
Telephone Number : 864-234-5800
Fax Number : 864-284-0844
Provider Business Practice Location Address
First Line : 800 PELHAM RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3300
Country : US
Telephone Number : 864-234-5800
Fax Number : 864-284-0844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 02/15/2012

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