Individual
DR. RANDA N. AL-JAYOUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1693
Mailing address
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701-3662
(340) 691-1000
(340) 691-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24071
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
24071
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11963
—
ND
Enumeration date
08/22/2005
Last updated
03/06/2014
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