| Dr Davinder Kaur Lally, MD | |
| 7182 Woodrow St Ste 200, Irmo, SC 29063 | |
| (803) 749-1111 | |
| (803) 749-0050 | 
| Full Name | Dr Davinder Kaur Lally | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 7182 Woodrow St Ste 200, 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 | 
|---|---|---|---|
| 1699741819 | NPI | - | NPPES | 
| LL1166 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 13380 (South Carolina) | Primary | 
| Entity Name | Prisma Health Medical Group-midlands | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Davinder Kaur Lally, MD 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 Ph: (803) 749-1111 | Dr Davinder Kaur Lally, MD 7182 Woodrow St Ste 200, Irmo, SC 29063 Ph: (803) 749-1111 | 
| 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. Amjad Abdulrahman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-799-1922 | |
| 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 |