Individual
DR. ASIM RANJAN PATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7050
(864) 560-0800
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
18442
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1844728
—
SC
01
—
F729303365
MEDICARE PIN
SC
01
—
P00692287
RR MEDICARE
SC
Enumeration date
06/02/2005
Last updated
12/01/2020
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