Organization
AMJAD MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUARTEL-AYNE AMJAD MD (OWNER)
(304) 252-5900
Entity
Organization
Contact information
Practice address
330 N EISENHOWER DR, BECKLEY, WV 25801
(304) 252-5900
(604) 252-5915
Mailing address
330 N EISENHOWER DR, BECKLEY, WV 25801
(304) 252-5900
(604) 252-5915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
24182
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24182
WV MEDICAL LICENSE
WV
05
—
3810019138
—
WV
Enumeration date
10/05/2010
Last updated
02/15/2019
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