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Organization

KANAWHA VALLEY NEUROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SASIDHARAN TARAVATH MD (PRESIDENT)
(304) 757-5337
Entity
Organization

Contact information

Practice address
3847 TEAYS VALLEY RD, SUITE D, HURRICANE, WV 25526-9622
(304) 757-5337
(304) 757-7537
Mailing address
3847 TEAYS VALLEY ROAD, SUITE D, HURRICANE, WV 25526
(304) 757-5337
(304) 757-7537

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
18764
WV

Other

Enumeration date
03/27/2007
Last updated
03/11/2014
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