Dias, Johnny Abraham
Dias, Johnny Abraham is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Dias, Johnny Abraham can be contacted via phone (864) 455-4411.Contact Information
Primary practice address
701 Grove Rd Fl 5
Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37770 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2014-00110 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | UNLICENSED | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0102202781 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 37770 | South Carolina |
Profile Details
| NPI number | 1659500072 |
|---|---|
| LBN Legal business name | Dias, Johnny Abraham |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2009 |
| Last updated | Jun 2nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659500072 | NPPES |
| South Carolina | MEDICAID | 377700 |
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