Provider Demographics
NPI:1891744454
Name:CAYELLI, MARIA A (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:CAYELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:777 SENATE PKWY
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1820
Mailing Address - Country:US
Mailing Address - Phone:864-932-4114
Mailing Address - Fax:864-932-4114
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:SUITE 2000
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-260-1590
Practice Address - Fax:864-260-1596
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC20312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
S360194OtherRAILROAD MEDICARE
00803217BOtherGEORGIA MEDICAID
SCT42497Medicaid
SC7043Medicare PIN
S360194OtherRAILROAD MEDICARE