Organization
PANHANDLE GASTROENTEROLOGY, PLLC
Active
Organization
PANHANDLE GASTROENTEROLOGY, PLLC
Active
Other names
Panhandle Gastroenterology, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIN M RAHIMIAN D.O. (OWNER)
(304) 260-0160
Entity
Organization
Contact information
Practice address
2000 FOUNDATION WAY, SUITE 3500, MARTINSBURG, WV 25401-9583
(304) 260-0160
(304) 260-0162
Mailing address
2000 FOUNDATION WAY, SUITE 3500, MARTINSBURG, WV 25401-9583
(304) 260-0160
(304) 260-0162
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2108
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001767952
BLUE CROSS BLUE SHIELD
WV
01
—
001767978
BLUE CROSS BLUE SHEILD
WV
05
—
3810003032
—
WV
Enumeration date
06/01/2007
Last updated
09/25/2014
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