Organization
JEFFERSON MED-PEDS INC
Active
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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