Individual
MR. SHAHROOZ SAHEB JAMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 MAIN ST, CLAY, WV 25043
(304) 587-2636
(304) 587-4789
Mailing address
43 MAIN ST, PO BOX 10, CLAY, WV 25043
(304) 587-2636
(304) 587-4789
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10485
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055781000
—
WV
01
—
0699802
FUNDS
WA
Enumeration date
06/22/2006
Last updated
07/08/2007
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