Organization
MERCY OB GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGESH DAHYALAL PANDYA M.D. (PRESIDENT)
(864) 288-3100
Entity
Organization
Contact information
Practice address
274 COMMONWEALTH DR, SUITE B, GREENVILLE, SC 29615-4869
(864) 288-3100
(864) 288-3004
Mailing address
274 COMMONWEALTH DR, SUITE B, GREENVILLE, SC 29615-4869
(864) 288-3100
(864) 288-3004
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17808
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704786
PPO - CAROLINA CARE PLAN
SC
01
—
88449
HMO - MEDCOST PREFFERED
SC
05
—
GP2403
—
SC
Enumeration date
10/11/2006
Last updated
08/22/2020
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