| Dr Amjad Abdulrahman, MD | |
| 
					7430 College St, Irmo, SC 29063-2903  | |
| (803) 732-4001 | |
| (803) 799-1922 | 
| Full Name | Dr Amjad Abdulrahman | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 7430 College St, Irmo, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194718841 | NPI | - | NPPES | 
| P00057303 | Other | SC | RAILROAD MEDICARE | 
| 216714 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 21671 (South Carolina) | Primary | 
| Entity Name | Palmetto Primary Care Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Amjad Abdulrahman, MD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071  | Dr Amjad Abdulrahman, MD 7430 College St, Irmo, SC 29063-2903 Ph: (803) 732-4001  | 
Dr. Joseph N Gabriel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050  | |
Dr. John Gould Iii, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7430 College St, Irmo, SC 29063 Phone: 839-200-7810 Fax: 803-891-7085  | |
Dr. Melissa H Hummel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7430 College St, Irmo, SC 29063 Phone: 839-200-7810 Fax: 803-891-7085  | |
Dr. Louis Carey Hite Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7430 College St, Irmo, SC 29063 Phone: 839-200-7810 Fax: 803-891-7085  | |
Ian Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 109, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050  | |
Dr. Surbjinder S Guram, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 109, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050  |