Dr. Alfonso L Sangtian Jr.
M.D. | Pediatric Adolescent Medicine | Male
Dr. Alfonso L Sangtian Jr., M.D. is a Conway, South Carolina based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Alfonso L Sangtian Jr. is
8030 Myrtle Trace Dr, Conway, South Carolina - 29526-8957. He can be contacted on phone at
843-347-4677 and fax number 843-347-4678.
Dr. Alfonso L Sangtian Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Alfonso L Sangtian Jr. is
1598766529 which was assigned by NPPES on 01 Aug, 2005 and it was last updated on 01 Sep, 2017.
Dr. Alfonso L Sangtian Jr. license number is
16605 for Pediatrics Adolescent Medicine (2080A0000X) in South Carolina.
Dr. Alfonso L Sangtian Jr. specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Alfonso L Sangtian Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Alfonso L Sangtian Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Alfonso L Sangtian Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8030 Myrtle Trace Dr
Conway, SC, 29526-8957
United States |
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| Phone Number : | 843-347-4677 |
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| Fax Number : | 843-347-4678 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598766529 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Aug, 2005 |
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| Last Updated On : | 01 Sep, 2017 |
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Medicare Participation:
Dr. Alfonso L Sangtian Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1153488671 |
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| Medicare Enrollment ID : | I20090326000512 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1979 |
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| Accepts Medicare? | May accept. Dr. Alfonso L Sangtian Jr. may accepts medicare insurance. |
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Group Practice Association:
Dr. Alfonso L Sangtian Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Alfonso L Sangtian Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Coastal Pediatrics | 8527125046 | 2 | 8030 Myrtle Trace Dr
Conway, SC - 295268945
Ph: 8433474677 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Alfonso L Sangtian Jr. are as mentioned. Primary taxonomy code for Dr. Alfonso L Sangtian Jr., M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 16605 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Alfonso L Sangtian Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 166055 | MEDICAID | SC | |
| 16605 | Other | SC | STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8030 Myrtle Trace Dr
Conway, SC, 29526-8957
United States |
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| Phone Number : | 843-347-4677 |
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| Fax Number : | 843-347-4678 |
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Business Location:
Patients can refer following map for directions to
Dr. Alfonso L Sangtian Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.