Provider Demographics
NPI:1578670220
Name:SAINI, RANJIV KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:RANJIV
Middle Name:KUMAR
Last Name:SAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RIVER LANDING DR
Mailing Address - Street 2:CONDO A 406
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8282
Mailing Address - Country:US
Mailing Address - Phone:843-364-6473
Mailing Address - Fax:
Practice Address - Street 1:200 RIVER LANDING DR
Practice Address - Street 2:CONDO A406
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8282
Practice Address - Country:US
Practice Address - Phone:843-364-6473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC198592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0711110 02Medicaid
KY7100073160Medicaid
PA1021703800001Medicaid
SC198592Medicaid
VA0711110 03Medicaid
OH2923457Medicaid
SCP00971815OtherRXR MEDICARE
SCP00971815OtherRXR MEDICARE
VAVV1039AMedicare PIN
SCAA42889641Medicare PIN