Individual
DR. MOHAMMAD IMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4813 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(304) 925-3338
(304) 925-3365
Mailing address
4813 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(304) 925-3338
(304) 925-3365
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
249
WV
Other
Enumeration date
04/12/2006
Last updated
07/08/2009
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