Provider Demographics
NPI:1588471403
Name:MEDSCAN LLC
Entity type:Organization
Organization Name:MEDSCAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-618-5954
Mailing Address - Street 1:128 BRIARWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-4896
Mailing Address - Country:US
Mailing Address - Phone:706-618-5954
Mailing Address - Fax:
Practice Address - Street 1:128 BRIARWOOD DR E
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-4896
Practice Address - Country:US
Practice Address - Phone:706-618-5954
Practice Address - Fax:706-477-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty