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CHARLESTON DIABETES & ENDOCRINE CONSULTANTS PLLC NPI 1710128541


NPI Information

NPI: 1710128541
Provider Name: CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
3100 MACCORKLE AVE
SUITE 810
CHARLESTON, WV
ZIP 25304
Phone: (304) 720-4422
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CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, 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. CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC NPI is 1710128541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3100 MACCORKLE AVE
SUITE 810
CHARLESTON, WV
ZIP 25304-223
Phone: (304) 720-4422
Fax: (304) 720-4421

The provider's authorized official is Prasuna Jami .
The authorized official title is Md/owner and has the following contact phone number (304) 720-4422.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 10/9/2009.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism21072WEST 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
13810014496MEDICAIDWEST VIRGINIA
2CH9382491MEDICARE PINWEST 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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