Individual
DR. JAIDEEP DEBSIKDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 N SUMTER ST STE 410, SUMTER, SC 29150-4969
(803) 774-9797
(803) 933-3012
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0090-00540
NC
207RC0000X
Cardiovascular Disease Physician
Primary
36675
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366758
—
SC
01
—
58-2569828
UNITED HEALTHCARE
NC
01
—
7393801
AETNA
TN
01
—
7453359
AETNA
NC
Enumeration date
05/31/2006
Last updated
08/23/2022
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