Individual
LEE COREY HAIKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5221 US ROUTE 60 E, RADIOLOGY INC, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, RADIOLOGY INC, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31922
KY
2085R0202X
Diagnostic Radiology Physician
35-078227-H
OH
2085R0204X
Vascular & Interventional Radiology Physician
19783
WV
2085R0204X
Vascular & Interventional Radiology Physician
Primary
31922
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197340
UNISON
OH
01
—
001718783
MTN STATE BC BS
—
05
—
2215249
—
OH
01
—
300136878
RR MEDICARE (WV)
WV
01
—
50007287
PASSPORT
KY
01
—
5281384
AETNA
—
01
—
550493376 00
WORKMANS COMP
WV
05
—
6401188500
—
KY
05
—
7200721000
—
WV
Enumeration date
12/27/2005
Last updated
10/18/2020
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