MID-OHIO VALLEY NEPHROLOGY ASSOCIATION NPI 1073903373

NPI Information

  • NPI: 1073903373
  • Provider Name: MID-OHIO VALLEY NEPHROLOGY ASSOCIATION
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 51D2303175
  • Address: 800 GRAND CENTRAL MALL
    SUITE 9
    VIENNA, WV
    ZIP 26105
  • Phone: (304) 834-3970

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NPI Details

MID-OHIO VALLEY NEPHROLOGY ASSOCIATION is a nephrology internal medicine in Vienna, 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. MID-OHIO VALLEY NEPHROLOGY ASSOCIATION NPI is 1073903373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 GRAND CENTRAL MALL
SUITE 9
VIENNA, WV
ZIP 26105-100
Phone: (304) 834-3970
Fax: (304) 916-1871

The provider's authorized official is Rabina Malik-hamirani .
The authorized official title is Co-owner and has the following contact phone number (304) 834-3970.

The CLIA number assigned to this NPI record is 51D2303175 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/26/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25689WEST VIRGINIANo
2207QG0300XFamily MedicineGeriatric Medicine25689WEST VIRGINIANo
3207RN0300XInternal MedicineNephrology20965WEST VIRGINIAYes

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This page was last updated on: 11/21/2025

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