# PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184642829
- **Authorized official:** SAMAR R. SANKARI M.D. (OWNER, PHYSICIAN, MANAGING MEMBER)
- **Authorized official phone:** (304) 720-1963

## Contact information

- **Practice address:** 331 LAIDLEY ST STE 507, PROFESSIONAL ENDOCRINOLOGY ASSOCIATES, PLLC, CHARLESTON, WV 25301-1682
- **Practice address phone:** (304) 720-1963
- **Practice address fax:** (304) 720-1966
- **Mailing address:** PO BOX 3466, CHARLESTON, WV 25334-3466
- **Mailing address phone:** (304) 720-1963
- **Mailing address fax:** (304) 720-1966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | — | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 10/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001803459 | BCBS GROUP | WV |
| 05 | — | 3810004642 | — | WV |
| 01 | — | DE7709 | RR MEDICARE | WV |