Provider Demographics
NPI:1447451182
Name:GILANI, SYED R (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:R
Last Name:GILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 743904
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3904
Mailing Address - Country:US
Mailing Address - Phone:803-296-7305
Mailing Address - Fax:803-296-7330
Practice Address - Street 1:1333 TAYLOR ST
Practice Address - Street 2:SUITE 6F
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2923
Practice Address - Country:US
Practice Address - Phone:803-296-3273
Practice Address - Fax:803-296-7061
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2024-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC36361207RC0200X, 207RP1001X
IL036160524207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC363617Medicaid
SCSC24095771Medicare PIN