Kalathil, Sumodh C.

Kalathil, Sumodh C. is an individual health care provider with primary practice located at 1025 Verdae Blvd Suite A, Greenville SC 29607-4032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kalathil, Sumodh C. can be contacted via phone (864) 242-4683.

Contact Information

Primary practice address
1025 Verdae Blvd Suite A Greenville SC 29607-4032
Fax: (864) 240-8104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 30422 South Carolina

Profile Details

NPI number 1750318416
LBN Legal business name Kalathil, Sumodh C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 19th, 2009 - about 16 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 1750318416 NPPES
South Carolina MEDICAID 304227
South Carolina Other 571004971034

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