Individual
AMIR R. KHORSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM, CHARLESTON, WV 25304
(304) 388-5848
(304) 388-9654
Mailing address
415 MORRIS STREET, SUITE 304, CHARLESTON, WV 25301
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
50.003090RX
OH
363A00000X
Physician Assistant
Primary
01390
WV
363A00000X
Physician Assistant
Primary
50.003090RX
OH
363AM0700X
Medical Physician Assistant
TEMPORARY
WV
Other
Enumeration date
07/11/2008
Last updated
05/15/2026
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