Individual
DR. BADSHAH J. WAZIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
428 DIVISION ST, SOUTH CHARLESTON, WV 25309-1469
(304) 766-7400
(304) 766-7446
Mailing address
118 E RIDGE RD, CHARLESTON, WV 25314-1666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11277
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087269000
—
WV
Enumeration date
01/02/2007
Last updated
08/28/2012
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