Individual
JOHN S KABAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD STE 550, GREENVILLE, SC 29605-4286
(864) 455-6800
(864) 455-6825
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168095A
—
GA
01
—
060066911
RR MEDICARE
SC
05
—
171325
—
SC
01
—
5401174
AETNA
SC
01
—
576007863100
BCBS OF SC
SC
01
—
576007863101
BLUE CHOICE OF SC
SC
01
—
9638703
CIGNA
SC
Enumeration date
05/17/2006
Last updated
02/07/2022
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