Kanawha Valley Neurology
Specialist in Beckley, WV. Organization (NPI-2).
NPI number1407136385
StatusActive
Last updated in NPPESAug 23, 2011
Details
- NPI
- 1407136385
- Entity type
- Organization (NPI-2)
- Legal business name
- Kanawha Valley Neurology
- Organization subpart
- Yes
- Enumeration date
- Aug 23, 2011
- Last updated
- Aug 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | E49818 | WV | Yes |
Other names
- Beckley Sleep Center (Doing Business As)
Practice location
70 Brookshire LnBeckley, WV 25801-6765
Phone 304-766-7695 · Fax 304-766-7698
Mailing address
70 Brookshire LnBeckley, WV 25801-6765
Phone 304-766-7695 · Fax 304-766-7698
Authorized official
Sasidharan Taravath
Doctor
3047667695
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