Basic Information
| Provider Information | |||||||||
| NPI: | 1871553206 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAPAT | ||||||||
| FirstName: | ARUNA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 287 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296020287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8648012035 | ||||||||
| FaxNumber: | 8648012037 | ||||||||
| Practice Location | |||||||||
| Address1: | 111A BERRY AVE | ||||||||
| Address2: | |||||||||
| City: | GREER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296511307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8648012038 | ||||||||
| FaxNumber: | 8648012037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2006 | ||||||||
| LastUpdateDate: | 10/01/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 152656 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 24579 | SC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01459145 | 05 | NY | MEDICAID | 345790 | 05 | SC | MEDICAID |