Organization
CROSS LANES INTERNAL MEDICINE GROUP INC
Active
Organization
CROSS LANES INTERNAL MEDICINE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARVIND Z VIRADIA MD (PRESIDENT)
(304) 776-2072
Entity
Organization
Contact information
Practice address
117 GOFF MOUNTAIN RD, CROSS LANES INTERNAL MEDICINE GROUP INC, CROSS LANES, WV 25313-1434
(304) 776-2072
(304) 776-7678
Mailing address
117 GOFF MOUNTAIN RD, CROSS LANES INTERNAL MEDICINE GROUP INC, CROSS LANES, WV 25313-1434
(304) 776-2072
(304) 776-7678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1230008000
—
WV
Enumeration date
10/18/2005
Last updated
07/10/2015
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