Provider Demographics
NPI:1013209592
Name:MAUR, KARANDEEP (MD)
Entity type:Individual
Prefix:
First Name:KARANDEEP
Middle Name:
Last Name:MAUR
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 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:3308 BRUSHY CREEK RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1002
Practice Address - Country:US
Practice Address - Phone:864-752-2000
Practice Address - Fax:864-752-2003
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD461143207RG0100X
SC92030207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3587771OtherHIGHMARK BCBS
PA432169OtherUPMC
PA1033079530001Medicaid