Provider Demographics
NPI:1366446759
Name:ROBERT M. SILGALS
Entity Type:Organization
Organization Name:ROBERT M. SILGALS
Other - Org Name:CAROLINA CANCER AND BLOOD CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILGALS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-572-1212
Mailing Address - Street 1:9295-C MEDICAL PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9137
Mailing Address - Country:US
Mailing Address - Phone:843-572-1212
Mailing Address - Fax:
Practice Address - Street 1:9295 - C MEDICAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9137
Practice Address - Country:US
Practice Address - Phone:843-572-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11792207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMPA989Medicaid
SC301541Medicaid
SCDB1210Medicare PIN
SC110014764Medicare PIN
SCB92516Medicare UPIN
SC3871240001Medicare NSC
SCB925164275Medicare UPIN
SCAA2116Medicare UPIN
SC1659354694Medicare NSC
SCAA21164275Medicare UPIN
SC4275Medicare UPIN