Shri Dhanvantri PA
Nurse Practitioner, Family in Duncan, SC. Organization (NPI-2).
NPI number1124882345
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1124882345
- Entity type
- Organization (NPI-2)
- Legal business name
- Shri Dhanvantri PA
- Organization subpart
- No
- Enumeration date
- Feb 8, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- Apple A Day Convenient Care (Doing Business As)
Practice location
1098 E Main StDuncan, SC 29334-9645
Phone 786-833-8829
Mailing address
1098 E Main StDuncan, SC 29334-9645
Authorized official
Louis Logan
Manager
3012591222
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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