Individual
FAREDOON K. MISAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4602 MACCORKLE AVENUE SE, CHARLESTON, WV 25304
(304) 925-4777
(304) 925-4780
Mailing address
415 MORRIS STREET, SUITE 304, CHARLESTON, WV 25301
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1598
WV
Other
Enumeration date
06/06/2006
Last updated
06/12/2024
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