Professional Endocrinology Associates, PLLC
Internal Medicine, Endocrinology, Diabetes & Metabolism in Charleston, WV. Organization (NPI-2).
NPI number1184642829
StatusActive
Last updated in NPPESOct 11, 2013
Details
- NPI
- 1184642829
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Endocrinology Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Oct 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 163WD0400X | Registered Nurse, Diabetes Educator | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
331 Laidley St Ste 507Professional Endocrinology Associates, PLLC
Charleston, WV 25301-1682
Phone 304-720-1963 · Fax 304-720-1966
Mailing address
Po Box 3466Charleston, WV 25334-3466
Phone 304-720-1963 · Fax 304-720-1966
Authorized official
Samar R. Sankari
Owner, Physician, Managing Member
3047201963
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