Organization
KANAWHA NEPHROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIF RAHMAN MD (PRESIDENT)
(304) 344-2900
Entity
Organization
Contact information
Practice address
2345 CHESTERFIELD AVE, SUITE 301, CHARLESTON, WV 25304-1062
(304) 344-2900
(304) 344-9385
Mailing address
2345 CHESTERFIELD AVE # INC, SUITE 301, CHARLESTON, WV 25304-1062
(304) 344-2900
(304) 344-9385
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240023000
—
WV
Enumeration date
09/21/2006
Last updated
03/06/2008
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