Organization
MID-OHIO VALLEY NEPHROLOGY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RABINA MALIK-HAMIRANI M.D. (CO-OWNER)
(304) 834-3970
Entity
Organization
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 9, VIENNA, WV 26105-4100
(304) 834-3970
(304) 916-1871
Mailing address
800 GRAND CENTRAL MALL, SUITE 9, VIENNA, WV 26105-4100
(304) 834-3970
(304) 916-1871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25689
WV
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25689
WV
207RN0300X
Nephrology Physician
Primary
20965
WV
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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