NPI Profile for WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION in OAKLAND, MD.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Nephrology |
207RN0300X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Specialist/Technologist, Pathology |
246Q00000X |
| NPI # | 1508749060 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/30/2025 | |
| Last updated | 07/30/2025 - About 10 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
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