Organization
NEUROLOGY & HEADACHE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARSHANKUMAR ASHWINBHAI DAVE MD (OWNER)
(304) 343-4400
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 802, CHARLESTON, WV 25304
(304) 343-4400
(304) 345-5005
Mailing address
3100 MACCORKLE AVE SE STE 411, CHARLESTON, WV 25304-1230
(304) 343-4400
(304) 345-5005
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21117
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841796000
—
WV
Enumeration date
06/21/2006
Last updated
01/26/2018
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