Kudchadkar Clinic
Pediatric Adolescent Medicine
Kudchadkar Clinic is a Winnsboro, South Carolina based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
880 West Moultrie St, Suite 100, Winnsboro, South Carolina - 29180. They can be contacted on phone at
803-635-6411 and fax number 803-712-6651.
NPI number (Unique professional ID) for Kudchadkar Clinic is
1710181060 which was assigned by NPPES on 12 Jun, 2007 and it was last updated on 22 Aug, 2020.
Kudchadkar Clinic 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:
Kudchadkar Clinic basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Kudchadkar Clinic |
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Business Address:
Kudchadkar Clinic 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 : | 880 West Moultrie St, Suite 100
Winnsboro, SC, 29180
United States |
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| Phone Number : | 803-635-6411 |
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| Fax Number : | 803-712-6651 |
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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 : | 1710181060 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Jun, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Anilj Kudchdkar |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 803-635-6411 |
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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 Kudchadkar Clinic are as mentioned. Primary taxonomy code for Kudchadkar Clinic is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | 10853 | SC |
| 2086S0129X | Surgery Vascular Surgery | No | 10531 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Kudchadkar Clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 105317 | MEDICAID | SC | |
| 108537 | MEDICAID | SC | |
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 : | Po Box 479
Winnsboro, SC, 29180-0479
United States |
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| Phone Number : | 803-635-6411 |
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| Fax Number : | 803-712-6651 |
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Business Location:
Patients can refer following map for directions to
Kudchadkar Clinic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.