MS. MARYAM GONDAL (NPI# 1003163593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003163593 |
| Entity Type | Individual |
| Full Name | MS. MARYAM GONDAL |
| Credential | M.D. |
| Practice Address |
834 Farrar Dr Conway SC 29526-8747 |
| Mailing Address |
834 Farrar Drive Conway SC 29526 |
| Practice Telephone | 8433479487 |
| Mailing Telephone | 8433479487 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
40627 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 W 10th Street, Indianapolis, IN 46202 | 3176564260 |
| Street Address |
834 FARRAR DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942317037 | Donna P Evans | Nurse Practitioner | 834 Farrar Dr, Conway, SC 29526-8747 | 2006-08-24 |
| 1619481397 | Rachel Ann Gasque | Nurse Practitioner | 834 Farrar Dr, Conway, SC 29526-8747 | 2017-11-16 |
| 1588004121 | Youness Hussein | Internal Medicine | 834 Farrar Dr, Conway, SC 29526-8747 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699840322 | Sivanthan Balachandran | Internal Medicine | 834 Farrar Drive, Conway, SC 29526 | 2006-11-21 |
| 1326109018 | Adam W Gedney | Internal Medicine | 834 Farrar Drive, Conway, SC 29526 | 2006-12-13 |
| 1801961537 | Coastal Kidney Center Pa | Internal Medicine | 834 Farrar Drive, Conway, SC 29526 | 2006-11-21 |
| 1770658494 | John Jay Elms | Internal Medicine | 834 Farrar Drive, Conway, SC 29526 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512353 | Maria Creciun Browne | Internal Medicine | Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 | 2020-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1245719939 | Keisuke Okamoto | Internal Medicine | 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 | 2018-08-13 |
| 1104332774 | Darius Lucian Lazarus | Internal Medicine | 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 | 2017-12-19 |
| 1689122749 | Sudarshan Bhimbra | Internal Medicine | 16 Main St # 635, Hardeeville, SC 29927-5926 | 2016-09-19 |
| 1396198800 | Karim Soliman | Internal Medicine | 171 Ashley Ave # Msc629, Charleston, SC 29425 | 2016-07-20 |
| 1427455393 | Jennifer Kinnard | Internal Medicine | 8 Orange St, Charleston, SC 29401-2408 | 2014-11-20 |
| 1073854527 | William Muirhead Turner | Internal Medicine | 131 Addis Cir, Anderson, SC 29626-5700 | 2013-03-08 |
| 1528313525 | Charis Lloyd Ellington | Internal Medicine | 727 Se Main St Ste 180, Simpsonville, SC 29681-3248 | 2012-07-17 |
| 1013291079 | Hamlet Hma Ppm LLC | Internal Medicine | 913 Oakwood St, Bennettsville, SC 29512-2459 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.