Organization
RALEIGH HEART CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAIR A BARGHOUTHI MD (OWNER)
(304) 254-0892
Entity
Organization
Contact information
Practice address
304 CARRIAGE DR, RALEIGH HEART CLINIC INC, BECKLEY, WV 25801
(304) 254-0892
(304) 254-0893
Mailing address
304 CARRIAGE DR, BECKLEY, WV 25801
(304) 254-0892
(304) 254-0893
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16708
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801019000
—
WV
Enumeration date
08/23/2006
Last updated
08/22/2020
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