Organization
INTERNAL MEDICINE ASSOCIATES
Active
Organization
INTERNAL MEDICINE ASSOCIATES
Active
Other names
Augusta Lung Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN HANI KANJ MD (PRESIDENT)
(304) 598-2801
Entity
Organization
Contact information
Practice address
99 J D ANDERSON DR, MORGANTOWN, WV 26505-4000
(304) 598-2801
(304) 599-6463
Mailing address
99 J D ANDERSON DR, SUITE 5A, MORGANTOWN, WV 26505
(304) 598-2801
(304) 599-6463
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19742
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074630000
—
WV
05
—
0075141000
—
WV
Enumeration date
05/10/2006
Last updated
05/12/2011
Update your record
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