Pediatric Gastroenterology Of Charleston, Pllc
Pediatric Gastroenterology
Pediatric Gastroenterology Of Charleston, Pllc is a South Charleston, West Virginia based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
428 Division St, Suite 3a, South Charleston, West Virginia - 25309-1469. They can be contacted on phone at
304-400-4626.
NPI number (Unique professional ID) for Pediatric Gastroenterology Of Charleston, Pllc is
1609216605 which was assigned by NPPES on 05 Jul, 2013 and it was last updated on 26 Nov, 2013.
Pediatric Gastroenterology Of Charleston, Pllc license number is
24418 for Pediatrics Pediatric Gastroenterology (2080P0206X) in West Virginia.
Pediatric Gastroenterology Of Charleston, Pllc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Pediatric Gastroenterology Of Charleston, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Gastroenterology |
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Provider Name : | Pediatric Gastroenterology Of Charleston, Pllc |
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Business Address:
Pediatric Gastroenterology Of Charleston, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 428 Division St, Suite 3a South Charleston, WV, 25309-1469 United States |
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Phone Number : | 304-400-4626 |
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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 are as mentioned below.
NPI Number : | 1609216605 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 05 Jul, 2013 |
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Last Updated On : | 26 Nov, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Ahmed Dahshan |
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Authorized Official Credential : | M.D. |
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Official Title or Position : | PHYSICIAN/OWNER |
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Phone Number : | 304-400-4626 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Gastroenterology Of Charleston, Pllc are as mentioned. Primary taxonomy code for Pediatric Gastroenterology Of Charleston, Pllc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 24418 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Gastroenterology Of Charleston, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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381002088 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 428 Division St, Suite 3a South Charleston, WV, 25309-1469 United States |
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Phone Number : | 304-400-4626 |
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Business Location:
Patients can refer following map for directions to
Pediatric Gastroenterology Of Charleston, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.