# PARKERSBURG INFECTIOUS DISEASE PLLC

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

## Provider details

- **NPI number:** 1427516129
- **Authorized official:** SEYOUM D BAGE MD (PHYSICIAN)
- **Authorized official phone:** (304) 916-1288

## Contact information

- **Practice address:** 800 GRAND CENTRAL MALL STE 10, VIENNA, WV 26105-4100
- **Practice address phone:** (304) 916-1288
- **Practice address fax:** (304) 916-1289
- **Mailing address:** 800 GRAND CENTRAL MALL STE 10, VIENNA, WV 26105-4100
- **Mailing address phone:** (304) 916-1288
- **Mailing address fax:** (304) 916-1289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 03/12/2019