Individual
SUJEEV S BAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31832
SC
207R00000X
Internal Medicine Physician
35087612
OH
208M00000X
Hospitalist Physician
35087612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532566
ANTHEM
OH
05
—
2707226
—
OH
01
—
7825812
AETNA
OH
Enumeration date
08/15/2006
Last updated
09/27/2011
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