Provider Demographics
NPI:1154361723
Name:JONA, VINOD K (MD)
Entity type:Individual
Prefix:
First Name:VINOD
Middle Name:K
Last Name:JONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-777-7863
Mailing Address - Fax:843-777-7873
Practice Address - Street 1:401 E CHEVES ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2615
Practice Address - Country:US
Practice Address - Phone:843-777-7863
Practice Address - Fax:843-777-7873
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC22268207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH080628552OtherMEDICARE PTAN
SC3868956OtherCIGNA
NC5901151OtherNC MEDICAID
SC7356350OtherAETNA
SC30086107OtherSELECT HEALTH
SC222681Medicaid
SCP00925544OtherRAILROAD MEDICARE
SCH08062Medicare UPIN