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
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