Provider Demographics
NPI:1891791570
Name:PARMAR, RAJINDER (MD)
Entity type:Individual
Prefix:DR
First Name:RAJINDER
Middle Name:
Last Name:PARMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BEAVER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8644
Mailing Address - Country:US
Mailing Address - Phone:803-260-0006
Mailing Address - Fax:803-753-8474
Practice Address - Street 1:1070 WILDWOOD CENTRE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8420
Practice Address - Country:US
Practice Address - Phone:803-260-0006
Practice Address - Fax:803-753-8474
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084129207RG0100X
SC33306207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA7370A241OtherMEDICARE PTAN
OH2470473Medicaid
OHG69156Medicare UPIN