Provider Demographics
NPI:1871661389
Name:CARE MEDICAL, P.A.
Entity type:Organization
Organization Name:CARE MEDICAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:MURARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-288-4567
Mailing Address - Street 1:PO BOX 27113
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29616-2113
Mailing Address - Country:US
Mailing Address - Phone:864-288-4567
Mailing Address - Fax:864-288-4566
Practice Address - Street 1:135 COMMONWEALTH DR STE 270
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4850
Practice Address - Country:US
Practice Address - Phone:864-288-4567
Practice Address - Fax:864-288-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18762207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT27003Medicaid
SCG30114Medicare UPIN
SC7078Medicare ID - Type Unspecified