Organization Active NPI

Sarawadee Sitti

  • Nephrology Physician
  • Florence, SC
National Provider Identifier
1073549572
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
11343 Issued in SC
Legal business name
SARAWADEE SITTI
Practice address
514H S Dargan Street
Florence, SC 29506
Phone
(843) 669-5956
Fax
(843) 669-2019
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarawadee Sitti, MD
Title
Owner
Phone
(843) 669-5956

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 11343 SC Primary

Addresses

Primary practice location

514H S Dargan Street
Florence, SC 29506

Mailing address

514H S Dargan Street
Florence, SC 29506
Phone (843) 669-5956

Other identifiers 1

IdentifierTypeStateIssuer
GP3783MedicaidSC

National Provider Directory

National Provider Directory

Locations

514 S Dargan St
Ste H
Florence, SC 29506
Phone (843) 669-5956

435 N Cashua Dr
Florence, SC 29501
Phone (843) 669-0825

514 S Dargan St
Ste D
Florence, SC 29506
Phone (843) 669-5956

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1073549572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514H S DARGAN STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-669-5956",
            "fax_number": "843-669-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514H S DARGAN STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-669-5956",
            "fax_number": "843-669-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAWADEE SITTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "SITTI",
        "authorized_official_first_name": "SARAWADEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-669-5956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "11343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3783",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.