Active NPIIndividual provider

Dr. Samuel G Adediran, MD

Internal Medicine, Hematology & Oncology in Spartanburg, South Carolina

NPI Number1811259096
Practice location
101 E Wood St, Spartanburg, SC 29303-3040
Fax
864-560-0800
Last updated
September 29, 2021

Dr. Samuel G Adediran, MD is a Internal Medicine, Hematology & Oncology based in Spartanburg, SC. Dr. Samuel G Adediran, MD holds the professional credentials of MD. The NPI number for Dr. Samuel G Adediran, MD is 1811259096 and holds license No. 0101264136 (VA). The current practice location address is 101 E Wood St, Spartanburg, SC 29303-3040 and the office can be reached by phone at 864-560-7050 and by fax at 864-560-0800. The NPI was assigned on June 13, 2012 and the record was last updated in NPPES on September 29, 2021.

●Provider Profile Details

NPI Number
1811259096
Provider Name
Samuel Gboyega Adediran
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X
Sole Proprietor
No
Enumeration Date
June 13, 2012
Last Update Date
September 29, 2021
Certification Date
September 29, 2021
NPI Status
Active

◉Business Practice Location Address

Address
101 E Wood St
Spartanburg, SC 29303-3040
ZIP
29303-3040
Country
US
Phone Number
864-560-7050
Fax Number
864-560-0800

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✉Business Mailing Address

Address
Po Box 743070
Atlanta, GA 30374-3070
City
Atlanta
State
GA
ZIP
30374-3070
Phone Number
864-560-4304
Fax Number
864-560-4413

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine, Hematology & Oncology207RH0003XNo0101264136VA
Internal Medicine, Hematology & Oncology207RH0003XNoMT201305PA
Internal Medicine, Hematology & Oncology207RH0003XYes86536SC

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Samuel G Adediran, MD?

The NPI number of Dr. Samuel G Adediran, MD is 1811259096. It was assigned on June 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel G Adediran, MD?

Dr. Samuel G Adediran, MD is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X) and holds license No. 0101264136 (VA).

Where does Dr. Samuel G Adediran, MD practice?

The practice location is 101 E Wood St, Spartanburg, SC 29303-3040. The office can be reached at 864-560-7050 (phone) or 864-560-0800 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811259096 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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