MEDICARE: AMIT R PITALIA 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	207Q00000X	Family Medicine Physician	23079	SC

General Provider Information

NPI Number	:	1467478735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT R PITALIA MD

Provider Business Mailing Address
First Line	:	2738 DECKER BLVD STE A
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-1735
Country	:	US
Telephone Number	:	803-969-0543
Fax Number	:	877-958-9029

Provider Business Practice Location Address
First Line	:	2738 DECKER BLVD STE A
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-1735
Country	:	US
Telephone Number	:	803-969-0543
Fax Number	:	877-958-9029

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	03/26/2026

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Directions to “ AMIT R PITALIA MD” Practice Location

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