Derderian, Sarkis

Derderian, Sarkis is an individual health care provider with primary practice located at 1875 Harden St , Columbia SC 29204-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Derderian, Sarkis can be contacted via phone (803) 256-0464.

Contact Information

Primary practice address
1875 Harden St Columbia SC 29204-1014
Phone: (803) 256-0464
Fax: (803) 254-5121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 384 South Carolina

Profile Details

NPI number 1427036375
LBN Legal business name Derderian, Sarkis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Mar 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427036375 NPPES
South Carolina MEDICAID 003846

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