Organization
CHARLESTON MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMER M MALAS M.D. (OWNER, MANAGING MEMBER)
(304) 414-2070
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, SUITE 507, CHARLESTON, WV 25301-1619
(304) 720-1963
(304) 720-1966
Mailing address
PO BOX 1685, CHARLESTON, WV 25326-1685
(304) 346-9400
(304) 345-7320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18266
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071392
BRICKSTREET GROUP
WV
01
—
2154761
OHIO MEDICAID
WV
05
—
3810008403
—
WV
Enumeration date
02/01/2007
Last updated
11/18/2015
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