# CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC

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

## Provider details

- **NPI number:** 1710128541
- **Authorized official:** PRASUNA JAMI MD (MD/OWNER)
- **Authorized official phone:** (304) 720-4422

## Contact information

- **Practice address:** 3100 MACCORKLE AVE, SUITE 810, CHARLESTON, WV 25304-1223
- **Practice address phone:** (304) 720-4422
- **Practice address fax:** (304) 720-4421
- **Mailing address:** 3100 MACCORKLE AVE, SUITE 810, CHARLESTON, WV 25304-1223
- **Mailing address phone:** (304) 720-4422
- **Mailing address fax:** (304) 720-4421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 21072 | WV | Yes |

## Other

- **Enumeration date:** 03/06/2009
- **Last updated:** 10/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810014496 | — | WV |