| Dr Kandasamy Chetty Perumal, MD, FACS | |
|
135 Professional Park Dr, Seneca, SC 29678-2558 | |
| (864) 882-8074 | |
| (864) 882-1908 |
| Full Name | Dr Kandasamy Chetty Perumal |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 46 Years |
| Location | 135 Professional Park Dr, Seneca, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255319992 | NPI | - | NPPES |
| SCL859 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 148557-1 (New York) | Secondary |
| 208800000X | Urology | 86822 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kandasamy Chetty Perumal, MD, FACS 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Kandasamy Chetty Perumal, MD, FACS 135 Professional Park Dr, Seneca, SC 29678-2558 Ph: (864) 882-8074 |
Mrs. Mary Beth M Hendricks, DNP Urology Medicare: Accepting Medicare Assignments Practice Location: 10630 Clemson Blvd Ste 100, Seneca, SC 29678 Phone: 864-482-6000 Fax: 864-482-7000 | |
Robert Gooding Mcalpine Jr., MD Urology Medicare: Medicare Enrolled Practice Location: 135 Professional Park Drive, Suite B, Seneca, SC 29678 Phone: 864-882-5306 Fax: 864-882-1908 | |
Dr. Unyime Okposong Nseyo, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Park Dr, Seneca, SC 29678 Phone: 864-882-5306 Fax: 864-882-1908 | |
Dr. David Chadbourne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Park Dr, Seneca, SC 29678 Phone: 864-882-8074 |