Organization
GASTROENTEROLOGY OF SOUTHERN WV
Active
Organization
GASTROENTEROLOGY OF SOUTHERN WV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOURAJ FARID MD (OWNER)
(304) 250-0307
Entity
Organization
Contact information
Practice address
1844 HARPER RD, BECKLEY, WV 25801-3366
(304) 250-0307
(304) 250-0384
Mailing address
1844 HARPER RD, BECKLEY, WV 25801-3366
(304) 250-0307
(304) 250-0384
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13804
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001796158
BCBS
WV
05
—
0071981000
—
WV
Enumeration date
06/22/2007
Last updated
03/22/2013
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