Provider Demographics
NPI:1245432145
Name:BAGI, PREET K (MD)
Entity Type:Individual
Prefix:
First Name:PREET
Middle Name:K
Last Name:BAGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100174
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3174
Mailing Address - Country:US
Mailing Address - Phone:864-512-5849
Mailing Address - Fax:864-512-7575
Practice Address - Street 1:2000 E GREENVILLE ST STE 2900
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1722
Practice Address - Country:US
Practice Address - Phone:864-512-5849
Practice Address - Fax:864-512-7575
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126118207RG0100X
IN01083796A207RG0100X
SC83532207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty