Individual
DR. VIKAS DEMBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7050
(864) 560-0800
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
632-L
MS
207RH0003X
Hematology & Oncology Physician
Primary
40329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403290
—
SC
01
—
SC96873365
MEDICARE PIN
SC
Enumeration date
05/24/2007
Last updated
10/18/2019
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