Individual
GHAZALA QUDDUS ROOPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
167 STOLLINGS AVE, SUITE B, LOGAN, WV 25601-4010
(304) 752-8800
(304) 752-9015
Mailing address
167 STOLLINGS AVE, SUITE B, LOGAN, WV 25601-4010
(304) 752-8800
(304) 752-9015
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
16972
WV
207RN0300X
Nephrology Physician
29243
KY
207RN0300X
Nephrology Physician
334317
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007488000
—
KY
05
—
0074880003
—
WV
05
—
180438000
—
WV
05
—
64698947
—
KY
Enumeration date
05/02/2006
Last updated
12/19/2022
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