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RURAL OUTREACH ARTHRITIS CENTER NPI 1568631950


NPI Information

NPI: 1568631950
Provider Name: RURAL OUTREACH ARTHRITIS CENTER
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
2010 DOCTOR OATES DR
104
MARTINSBURG, WV
ZIP 25401
Phone: (304) 262-0085
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RURAL OUTREACH ARTHRITIS CENTER is a rheumatology internal medicine in Martinsburg, WV. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. RURAL OUTREACH ARTHRITIS CENTER NPI is 1568631950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2010 DOCTOR OATES DR
104
MARTINSBURG, WV
ZIP 25401-896
Phone: (304) 262-0085
Fax: (304) 262-0356

The provider's authorized official is Michael Mohammad Rezaian .
The authorized official title is Supervisor and has the following contact phone number (304) 262-0085.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 2/29/2008.


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
1207RR0500XInternal MedicineRheumatology16112WEST 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
1E65375MEDICARE UPINWEST VIRGINIA

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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