Active NPI
Mehrgan Sokhandan, M.D.
- Pulmonary Disease Physician
- Greenville, SC
National Provider Identifier
1386641405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 17953
- Practice address
- 357 Woodruff Rd
Greenville, SC 29607-3415 - Phone
- (864) 627-5337
- Fax
- (864) 627-9301
- NPI assigned
- Jul 5, 2005
- Last updated
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 17953 | SC | Primary |
Addresses
Primary practice location
357 Woodruff Rd
Greenville, SC 29607-3415
Mailing address
357 Woodruff Rd
Greenville, SC 29607-3415
Phone (864) 627-5337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 582299730 | Other | SC | TAX ID |
| T20518 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17953 | SC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yazdy-Sokhandan, PA | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- m.sokhandan@srsdc.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Greer, SC
- NPI 1952361222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1386641405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073415",
"telephone_number": "864-627-5337",
"fax_number": "864-627-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073415",
"telephone_number": "864-627-5337",
"fax_number": "864-627-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKHANDAN",
"first_name": "MEHRGAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "17953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "582299730",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T20518",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.