Provider Demographics
NPI:1639106990
Name:GUARESCHI, CLAUDIO (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIO
Middle Name:
Last Name:GUARESCHI
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 1:105 VINECREST CT # 500
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-8031
Mailing Address - Country:US
Mailing Address - Phone:864-725-7900
Mailing Address - Fax:864-725-7910
Practice Address - Street 1:105 VINECREST CT # 500
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-8031
Practice Address - Country:US
Practice Address - Phone:864-725-7900
Practice Address - Fax:864-725-7910
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22656208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC226561Medicaid
SC226561Medicaid