Provider Demographics
NPI:1033158779
Name:MINHAS, BALBIR SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:BALBIR
Middle Name:SINGH
Last Name:MINHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:ONE WELLNESS BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2872
Mailing Address - Country:US
Mailing Address - Phone:803-732-8632
Mailing Address - Fax:803-732-8658
Practice Address - Street 1:3 RICHLAND MEDICAL PARK DR STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6850
Practice Address - Country:US
Practice Address - Phone:803-434-8866
Practice Address - Fax:803-933-3049
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC20662207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC206627Medicaid
100014428OtherRR MEDICARE
SC206627Medicaid
F80242Medicare UPIN