Individual
GOPALBHAI KANIJIBHAI VAGHELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9680
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33084
SC
207R00000X
Internal Medicine Physician
33084
SC
208M00000X
Hospitalist Physician
Primary
33084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330840
—
SC
05
—
5916219
—
SC
Enumeration date
07/27/2010
Last updated
10/02/2023
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