Tarek Anderson
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Tarek Anderson, M.D. is a South Charleston, West Virginia based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Tarek Anderson is
4605 Maccorkle Ave Sw, South Charleston, West Virginia - 25309-1311. He can be contacted on phone at
304-346-9400 and fax number 304-345-7320.
Tarek Anderson is a sole proprietor of his business.
NPI number (Unique professional ID) for Tarek Anderson is
1841365640 which was assigned by NPPES on 21 Nov, 2006 and it was last updated on 27 May, 2008.
Tarek Anderson license number is
18922 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in West Virginia.
Tarek Anderson is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Tarek Anderson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Tarek Anderson |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Tarek Anderson 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 : | 4605 Maccorkle Ave Sw
South Charleston, WV, 25309-1311
United States |
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| Phone Number : | 304-346-9400 |
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| Fax Number : | 304-345-7320 |
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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 : | 1841365640 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Nov, 2006 |
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| Last Updated On : | 27 May, 2008 |
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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 Tarek Anderson are as mentioned. Primary taxonomy code for Tarek Anderson, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 18922 | WV |
| 208000000X | Pediatrics | No | 35065363 | OH |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 35065363 | OH |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 18922 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Tarek Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| W45031 | Other | WV | MOUNTAIN STATE BLUECROSS |
| 001723812 | Other | WV | MTN ST BCBS |
| 0933682 | MEDICAID | OH | |
| 64103021 | MEDICAID | KY | |
| 3607462003 | Other | | CIGNA HEALTHCARE |
| 4505652 | Other | WV | AETNA |
| 0110693000 | 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 : | Po Box L2560
Columbus, OH, 43260-0001
United States |
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| Phone Number : | 304-346-9400 |
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| Fax Number : | 304-345-7320 |
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Business Location:
Patients can refer following map for directions to
Tarek Anderson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.