Provider Demographics
NPI:1811002371
Name:PINTO, VIJAY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:PAUL
Last Name:PINTO
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 1:1285 WILSON HALL ROAD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150
Mailing Address - Country:US
Mailing Address - Phone:803-905-3555
Mailing Address - Fax:803-905-3570
Practice Address - Street 1:1285 WILSON HALL ROAD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150
Practice Address - Country:US
Practice Address - Phone:803-905-3555
Practice Address - Fax:803-905-3570
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27784208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC277845Medicaid
SC8929Medicare PIN
SC277845Medicaid