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Organization

JEFFERSON MED-PEDS INC

Active
Other names
Vikram Dayal, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIKRAM DAYAL M.D. (OWNER/PHYSICIAN)
(304) 279-1372
Entity
Organization

Contact information

Practice address
207 E 5TH AVE, RANSON, WV 25438-1613
(304) 279-1372
(304) 728-3623
Mailing address
207 E 5TH AVE, RANSON, WV 25438-1613
(304) 279-1372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16223
WV
208000000X
Pediatrics Physician
16223
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073128000
WV
Enumeration date
06/04/2006
Last updated
12/27/2012
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