Organization
CHARLESTON HEART CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED M. SAKKAL M.D. (OWNER)
(304) 344-0816
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, SUITE 406, CHARLESTON, WV 25301-1619
(304) 344-0186
(304) 344-0188
Mailing address
331 LAIDLEY ST, SUITE 406, CHARLESTON, WV 25301-1619
(304) 344-0186
(304) 344-0188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16395
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801046000
—
WV
Enumeration date
10/10/2006
Last updated
09/25/2012
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