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PROFESSIONAL ENDOCRINOLOGY ASSOCIATES PLLC NPI 1184642829


NPI Information

NPI: 1184642829
Provider Name: PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
331 LAIDLEY ST STE 507
PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC
CHARLESTON, WV
ZIP 25301
Phone: (304) 720-1963
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PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC is an endocrinology and diabetes and metabolism internal medicine in Charleston, WV. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC NPI is 1184642829. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

331 LAIDLEY ST STE 507
PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC
CHARLESTON, WV
ZIP 25301-682
Phone: (304) 720-1963
Fax: (304) 720-1966

The provider's authorized official is Samar R. Sankari .
The authorized official title is Owner, Physician, Managing Member and has the following contact phone number (304) 720-1963.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 10/11/2013.


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
1163W00000XRegistered NurseNo
2163WD0400XRegistered NurseDiabetes EducatorNo
3207R00000XInternal MedicineNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
13810004642MEDICAIDWEST VIRGINIA
29360461MEDICARE PINWEST VIRGINIA
3001803459OTHERWEST VIRGINIABCBS GROUP
4DE7709OTHERWEST VIRGINIARR MEDICARE

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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