Supan, Samai
Supan, Samai is an individual health care provider with primary practice located at 719 Okatie Hwy # 170 , Okatie SC 29909-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Supan, Samai can be contacted via phone (843) 987-7400.Contact Information
Primary practice address
719 Okatie Hwy # 170
Okatie SC 29909-3963
Phone: (843) 987-7400
Fax: (843) 987-5135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 11283 | South Carolina |
Profile Details
| NPI number | 1861451569 |
|---|---|
| LBN Legal business name | Supan, Samai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 10th, 2020 - about 6 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 | 1861451569 | NPPES |
| South Carolina | Other | 11283 | STATE LICENSE |
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