Individual
DR. MARK RADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-8238
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32380
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32380
WV
207RP1001X
Pulmonary Disease Physician
Primary
32380
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
05/16/2023
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