# KANAWHA VALLEY NEUROLOGY

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

## Provider details

- **NPI number:** 1326166463
- **Authorized official:** DR. SASIDHARAN TARAVATH MD (PRESIDENT)
- **Authorized official phone:** (304) 757-5337

## Contact information

- **Practice address:** 3847 TEAYS VALLEY RD, SUITE D, HURRICANE, WV 25526-9622
- **Practice address phone:** (304) 757-5337
- **Practice address fax:** (304) 757-7537
- **Mailing address:** 3847 TEAYS VALLEY ROAD, SUITE D, HURRICANE, WV 25526
- **Mailing address phone:** (304) 757-5337
- **Mailing address fax:** (304) 757-7537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18764 | WV | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 03/11/2014