Organization
SOUTH BRANCH SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL K MAKANI MD (PRESIDENT)
(304) 257-4331
Entity
Organization
Contact information
Practice address
GRANT MEMORIAL HOSPITAL, ROUTE 55, PETERSBURG, WV 26847-0788
(304) 257-4331
(304) 257-2891
Mailing address
PO BOX 788, PETERSBURG, WV 26847-0788
(304) 257-4331
(304) 257-2891
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15545
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009932000
—
WV
Enumeration date
11/17/2006
Last updated
01/22/2008
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