| NPI | 1649490731 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SAFIQUE AHMED Doctor 304-792-1116  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 20171)  | 
| Enumeration Date | 2007-04-30 | 
| Last Update Date | 2013-03-26 |