Organization
NABIL GUIRGUIS
Active
Other names
Kidney Dialysis & Transplant Group
Organization subpart
No
Provider details
NPI number
Authorized official
AMAL M GUIRGUIS MBBCH (MANAGING EMPLOYEE)
(304) 629-9399
Entity
Organization
Contact information
Practice address
166 THOMPSON DR, SUITE B, BRIDGEPORT, WV 26330-1644
(304) 842-5668
(304) 842-3113
Mailing address
166 THOMPSON DR, SUITE B, BRIDGEPORT, WV 26330-1644
(304) 842-5668
(304) 842-3113
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001934214
BLUE CROSS
WV
Enumeration date
10/24/2006
Last updated
08/01/2011
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