Coastal Cancer Center Llc
Hematology & Oncology
8121 Rourk St, Myrtle Beach
South Carolina, 29572-4128
843-692-5000 843-692-5015
Coastal Cancer Center Llc is a Hematology & Oncology in Myrtle Beach, South Carolina. It is located at 8121 Rourk St, Myrtle Beach and it's customer support contact number is 843-692-5000. The authorized person of Coastal Cancer Center Llc is Dr. Vijay Paudel, MD who is President of this DME and his contact number is 843-692-5000. Coastal Cancer Center Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Coastal Cancer Center Llc is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
DME Supplier Details:
Coastal Cancer Center Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Coastal Cancer Center Llc |
| Type: | Hematology & Oncology |
| Location: | 8121 Rourk St, Myrtle Beach,
South Carolina, 29572-4128 |
| Phone: | 843-692-5000 |
| Fax: | 843-692-5015 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Vijay Paudel |
| Credentials: | MD |
| Position: | President |
| Contact Number: | 843-692-5000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1881614170 |
| NPI Enumeration Date: | 20 Jul, 2006 |
| NPI Last Update On: | 08 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coastal Cancer Center Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Hematology & Oncology | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Radiation Oncology | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PG1908 | Medicaid | South Carolina | |
| PG1907 | Medicaid | South Carolina | |
| 7902484 | Medicaid | North Carolina | |
| PA8189 | Medicaid | South Carolina | |
Medicare Enrollment:
Coastal Cancer Center Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1456265503 | O20031113000696 | Coastal Cancer Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8121 Rourk St,
Myrtle Beach, South Carolina |
| Zip: | 29572-4128 |
| Phone Number: | 843-692-5000 |
| Fax Number: | 843-692-5015 |
Patients can reach Coastal Cancer Center Llc at
8121 Rourk St, Myrtle Beach, South Carolina or can
call on customer care at 843-692-5000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.