Provider Demographics
NPI:1881661270
Name:DUA, ANTERPREET SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTERPREET
Middle Name:SINGH
Last Name:DUA
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 1:322 W SOUTH ST
Mailing Address - Street 2:PO DRAWER 789
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379
Mailing Address - Country:US
Mailing Address - Phone:864-427-0351
Mailing Address - Fax:864-429-2676
Practice Address - Street 1:322 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379
Practice Address - Country:US
Practice Address - Phone:864-466-0288
Practice Address - Fax:864-466-0289
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL27573207L00000X, 207LP2900X
GA72728207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I24623Medicare UPIN