Provider Demographics
NPI:1992968929
Name:UPSTATE HOSPITALIST SERVICES LLC
Entity type:Organization
Organization Name:UPSTATE HOSPITALIST SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-487-1500
Mailing Address - Street 1:1530 N LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-4742
Mailing Address - Country:US
Mailing Address - Phone:864-487-1500
Mailing Address - Fax:864-489-0585
Practice Address - Street 1:1530 N LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-4742
Practice Address - Country:US
Practice Address - Phone:864-487-1500
Practice Address - Fax:864-489-0585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4950Medicaid
SC9099Medicare PIN
SCGP4950Medicaid