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Individual

MARYAM JAFARY RANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
425 STANAFORD RD, BECKLEY, WV 25801-3145
(304) 222-5817
Mailing address
56 OSPREY RD, BECKLEY, WV 25801-3684
(304) 222-5817

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
01717
WV
207P00000X
Emergency Medicine Physician
01717
WV
207R00000X
Internal Medicine Physician
01717
WV
2084P0800X
Psychiatry Physician
01717
WV
363A00000X
Physician Assistant
Primary
0171
WV

Other

Enumeration date
03/14/2013
Last updated
03/08/2023
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