# A. BENAVIDES, M.D., INC.

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

## Provider details

- **NPI number:** 1962533844
- **Authorized official:** DR. AURELIO BENAVIDES M.D. (PRESIDENT)
- **Authorized official phone:** (304) 263-4949

## Contact information

- **Practice address:** 1004 SUSHRUTA DR, SUITE B, MARTINSBURG, WV 25401-8898
- **Practice address phone:** (304) 263-4949
- **Practice address fax:** (304) 263-8725
- **Mailing address:** 1004 SUSHRUTA DR, SUITE B, MARTINSBURG, WV 25401-8898
- **Mailing address phone:** (304) 263-4949
- **Mailing address fax:** (304) 263-8725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 10389 | WV | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0130592000 | — | WV |