Individual
DR. STEPHEN OSAGUONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 LAUREL ST STE 230, COLUMBIA, SC 29204-2034
(843) 233-3700
(877) 460-4542
Mailing address
2601 LAUREL ST STE 230, COLUMBIA, SC 29204-2034
(843) 233-3700
(877) 460-4542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29582
SC
207R00000X
Internal Medicine Physician
44735
TN
207RN0300X
Nephrology Physician
2010-01400
NC
207RN0300X
Nephrology Physician
Primary
29582
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295825
—
SC
05
—
5916035
—
NC
01
—
PO1239847
RAILROAD MEDICARE
SC
Enumeration date
01/31/2007
Last updated
04/29/2025
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