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Organization
CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC
Active
Organization
CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASUNA JAMI MD (MD/OWNER)
(304) 720-4422
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE, SUITE 810, CHARLESTON, WV 25304-1223
(304) 720-4422
(304) 720-4421
Mailing address
3100 MACCORKLE AVE, SUITE 810, CHARLESTON, WV 25304-1223
(304) 720-4422
(304) 720-4421
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21072
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014496
—
WV
Enumeration date
03/06/2009
Last updated
10/09/2009
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