Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nachiket Nitin Datar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104310671

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
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Practice location Address checks out

809 82nd Parkway Grand Strand Medical Center/ Gme Ofc
Myrtle Beach, SC 29572
Phone: (843) 848-4679
Fax: (843) 848-4682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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 number1104310671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southeastern Hospitalist Services Pc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach