Organization
PEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED DAHSHAN M.D. (PHYSICIAN/OWNER)
(304) 400-4626
Entity
Organization
Contact information
Practice address
428 DIVISION ST, SUITE 3A, SOUTH CHARLESTON, WV 25309-1469
(304) 400-4626
Mailing address
428 DIVISION ST, SUITE 3A, SOUTH CHARLESTON, WV 25309-1469
(304) 400-4626
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
24418
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381002088
—
WV
Enumeration date
07/05/2013
Last updated
11/26/2013
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