Individual
DR. MOHAMMAD ROIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1614 LOCUST AVE, FAIRMONT, WV 26554-1319
(304) 363-6659
(304) 366-3464
Mailing address
1614 LOCUST AVE, FAIRMONT, WV 26554-1319
(304) 363-6659
(304) 366-3464
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12336
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083265000
—
WV
Enumeration date
05/27/2006
Last updated
08/20/2013
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