| NPI | 1912250663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN KHAJAVI Owner/Physician 304-264-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 22758) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2020-02-11 |