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Contact Information

CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC
3100 MACCORKLE AVE
SUITE 810
CHARLESTON, WV25304-1223
 Phone: 304-720-4422
 Fax: 304-720-4421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC

NPI # 1710128541
LBN Legal business name CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC
Authorized official PRASUNA JAMI - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2009
Last updated 10/09/2009 - About 17 years ago
Identifiers
WV License # 21072
WV Medicaid 3810014496
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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