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CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT PLLC NPI 1003017823


NPI Information

NPI: 1003017823
Provider Name: CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4825 MACCORKLE AVE SW
SUITE A
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 400-4700
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CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC is a nephrology internal medicine in South Charleston, WV. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC NPI is 1003017823. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4825 MACCORKLE AVE SW
SUITE A
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 400-4700
Fax: (304) 693-2606

The provider's authorized official is Abdul Rahman Zanabli .
The authorized official title is Medical Director and has the following contact phone number (304) 400-4700.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 6/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology22697WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810010603MEDICAIDWEST VIRGINIA
2001953144OTHERWEST VIRGINIABC BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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