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Contact Information

WARIS A WARIS
20 HOSPITAL DR
LOGAN, WV25601-3452
 Phone: 304-239-8070
 Fax: 304-239-8074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WARIS A WARIS · (Male)

NPI # 1891807822
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 01/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002655
  • WV License # 23735
Hospital affiliation(s)
  • LOGAN REGIONAL MEDICAL CENTER - (Acute Care)
    20 HOSPITAL DRIVE
    LOGAN, WV 25601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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