Provider Demographics
NPI:1942426093
Name:PUROHIT, KALPESH KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:KALPESH
Middle Name:KUMAR
Last Name:PUROHIT
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 W HOSPITAL ROAD
Mailing Address - Street 2:EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5650
Mailing Address - Country:US
Mailing Address - Phone:706-787-2720
Mailing Address - Fax:706-787-8176
Practice Address - Street 1:100 PALMETTO HEALTH PKWY STE 104
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-1754
Practice Address - Country:US
Practice Address - Phone:803-907-7500
Practice Address - Fax:803-907-7509
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236395207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN