Individual
SANTOSH MOHAN BIJOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, DEPARTMENT OF INPATIENT MEDICINE, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-6017
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
19637
SC
208M00000X
Hospitalist Physician
Primary
19637
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196371
—
SC
01
—
5259517
AETNA
SC
01
—
77815
MEDCOST
SC
05
—
89064WP
—
NC
01
—
P00695223
RR MEDICARE
SC
Enumeration date
03/07/2006
Last updated
11/25/2020
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