Organization
KANAWHA SURGICENTER
Active
Other names
Kanawha Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
GORLI HARISH MD (MD)
(304) 925-6390
Entity
Organization
Contact information
Practice address
4803 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(304) 925-6390
(304) 925-7931
Mailing address
4803 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(304) 925-6390
(304) 925-7931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10453
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009812000
—
WV
Enumeration date
12/13/2006
Last updated
08/22/2020
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