GHAZALA QUDDUS M.D. INC. NPI 1184658007

NPI Information

  • NPI: 1184658007
  • Provider Name: GHAZALA QUDDUS, M.D., INC.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 167 STOLLINGS AVE
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 752-8800

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NPI Details

GHAZALA QUDDUS, M.D., INC. is a nephrology internal medicine in Logan, 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. GHAZALA QUDDUS, M.D., INC. NPI is 1184658007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

167 STOLLINGS AVE
LOGAN, WV
ZIP 25601-010
Phone: (304) 752-8800
Fax: (304) 752-9000

The provider's authorized official is Shannon Lewis .
The authorized official title is Office Manager and has the following contact phone number (304) 752-3883.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========005OTHERWEST VIRGINIAMT STATE BC,BS GROUP #
27667MEDICARE PINKENTUCKY
36565MEDICARE PINKENTUCKY
46859MEDICARE PINKENTUCKY
56566MEDICARE PINKENTUCKY
6GH9308261MEDICARE PINWEST VIRGINIA
74000440000MEDICAIDWEST VIRGINIA
865920670MEDICAIDKENTUCKY

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: 11/21/2025

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