# DOCTORS EXPRESS CARE

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

## Provider details

- **NPI number:** 1417079229
- **Authorized official:** MOHAMMAD ANWAR ULLAH MD (PHYSICIAN MANAGER)
- **Authorized official phone:** (304) 465-5066

## Contact information

- **Practice address:** 269 B STANAFORD RD, BECKLEY, WV 25802
- **Practice address phone:** (304) 465-5066
- **Practice address fax:** (304) 465-5066
- **Mailing address:** PO BOX 963, 269 B STANAFORD RD, BECKLEY, WV 25802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0127829000 | — | WV |