Guimaraes Rangel, Gustavo

Guimaraes Rangel, Gustavo is an individual health care provider with primary practice located at 200 Patewood Dr Ste B400 , Greenville SC 29615-6306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Guimaraes Rangel, Gustavo can be contacted via phone (864) 454-4368.

Contact Information

Primary practice address
200 Patewood Dr Ste B400 Greenville SC 29615-6306
Phone: (864) 454-4368
Fax: (864) 241-9232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 57.246883 Ohio
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X AL87649 South Carolina

Profile Details

NPI number 1023679271
LBN Legal business name Guimaraes Rangel, Gustavo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2019
Last updated Sep 27th, 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 1023679271 NPPES
South Carolina MEDICAID 876494

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