Organization
COMPREHENSIVE NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRAJ DERAKHSHAN MD (PRESIDENT)
(304) 343-4098
Entity
Organization
Contact information
Practice address
415 MORRIS ST, CHARLESTON, WV 25301-1842
(304) 343-4098
(304) 343-4598
Mailing address
415 MORRIS ST, CHARLESTON, WV 25301-1854
(304) 343-4098
(304) 343-4598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18591
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009238
—
WV
Enumeration date
03/22/2006
Last updated
03/13/2008
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