Organization
SOUTHERN WEST VIRGINIA NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMAD B. FARIDI M.D. (OWNER)
(304) 752-8800
Entity
Organization
Contact information
Practice address
300 PROSPERITY LN, SUITE 203, LOGAN, WV 25601-3494
(304) 752-8800
(304) 752-9000
Mailing address
300 PROSPERITY LN, SUITE 203, LOGAN, WV 25601-3743
(304) 752-8800
(304) 752-9000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22245
WV
207RN0300X
Nephrology Physician
42343
KY
Other
Enumeration date
11/09/2010
Last updated
10/22/2014
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