Nachiket Nitin Datar
Nachiket Nitin Datar is a Family Practice in Myrtle Beach, South Carolina. Qualified in 2018, 8 years ago. Practices with Southeastern Hospitalist Services PC, a 307-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 8
- Licensed in
- MO
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
Myrtle Beach, SCNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 2021030733 (MO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1104310671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 19, 2018 |
| Last updated in NPPES | November 4, 2021 |
| Certification date | November 4, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Southeastern Hospitalist Services Pc — 307 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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