Supen R Patel
Rheumatology
600 E Palmetto St
Florence
, South Carolina 29506
Supen R Patel
Rheumatology
600 E Palmetto St
Florence
, South Carolina 29506
(843) 667-1362
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Supen R Patel
- 360 N Irby St
- Florence, SC
- Zip : 29501-2808
- Fax : (843) 667-1362
- Phone : (843) 667-9414
Second Address
- Supen R Patel
- 600 E Palmetto St
- Florence, SC
- Zip : 29506
- Fax : (843) 667-1362
- Phone : (843) 667-9414
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 19744 | SC |
National Provider Identifier
| NPI | 1114969359 |
|---|---|
| Provider Name | Supen R Patel |
| First Address | Florence, SC 29501-2808 |
| Second Address | Florence, SC 29506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 02/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 660002624 | RAILROAD MEDICARE (01) | SC |
| 89063RJ | (05) | NC |
| G38646 | (02) | SC |
| T37467 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.