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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL KOUANDJIO, MD

Active

MICHAEL KOUANDJIO, MD is a Emergency Medicine healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1154882975 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · MYRTLE BEACH, SC

Registration Details

NPI Number
1154882975
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2019 (7.3879528141903 yrs)
Last Updated
Jun 15, 2022
License
39234 (OK)

Practice Information

Address
GRAND STRAND MEDICAL CENTER-GME OFFICE
809 82ND PARKWAY
MYRTLE BEACH, SC, 29572
Browse SC providers · Browse ZIP 29572
Phone
8438484640
Fax
8438392382
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in MYRTLE BEACH, SC

Name Credential NPI
THOMAS J MARTEL M.D. 1679577035
HIRAM B BROOKS M.D. 1295731438
MATTHEW J DESALVO M.D. 1942206826
JARRATT D LARK M.D. 1538166459
JOHN CHARLES M.D. 1457359044
OTTO C. SUSEC JR. M.D. 1033118898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.