Amanda Jacquelyn Didolkar
MD | Pediatrics | Female
Amanda Jacquelyn Didolkar, MD is a Myrtle Beach, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics. Amanda Jacquelyn Didolkar is also known as
Amanda Jacquelyn Doherty.
Current practice location of Amanda Jacquelyn Didolkar is
4022 Postal Way Ste C, Myrtle Beach, South Carolina - 29579-3537. She can be contacted on phone at
843-903-4111 and fax number 843-903-4242.
Amanda Jacquelyn Didolkar is a sole proprietor of her business.
NPI number (Unique professional ID) for Amanda Jacquelyn Didolkar is
1699937862 which was assigned by NPPES on 30 Jun, 2008 and it was last updated on 20 Apr, 2022.
Amanda Jacquelyn Didolkar license number is
84825 for Pediatrics (208000000X) in South Carolina.
Amanda Jacquelyn Didolkar is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Amanda Jacquelyn Didolkar basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Amanda Jacquelyn Didolkar |
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| Other Name : | Amanda Jacquelyn Doherty |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Amanda Jacquelyn Didolkar 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 : | 4022 Postal Way Ste C
Myrtle Beach, SC, 29579-3537
United States |
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| Phone Number : | 843-903-4111 |
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| Fax Number : | 843-903-4242 |
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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 : | 1699937862 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jun, 2008 |
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| Last Updated On : | 20 Apr, 2022 |
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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 Amanda Jacquelyn Didolkar are as mentioned. Primary taxonomy code for Amanda Jacquelyn Didolkar, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 84825 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Amanda Jacquelyn Didolkar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 848257 | MEDICAID | SC | |
| Q027544 | MEDICAID | TN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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5010 CAROLINA FOREST BLVD,
MYRTLE BEACH, SC, 29579-3579
United States | MYRTLE BEACH, SC | 843-236-2700 |
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 : | 300 Singleton Ridge Rd, Attention Patient Accounting
Conway, SC, 29526-9142
United States |
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| Phone Number : | 843-234-6946 |
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Business Location:
Patients can refer following map for directions to
Amanda Jacquelyn Didolkar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.