Organization
A. BENAVIDES, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIO BENAVIDES M.D. (PRESIDENT)
(304) 263-4949
Entity
Organization
Contact information
Practice address
1004 SUSHRUTA DR, SUITE B, MARTINSBURG, WV 25401-8898
(304) 263-4949
(304) 263-8725
Mailing address
1004 SUSHRUTA DR, SUITE B, MARTINSBURG, WV 25401-8898
(304) 263-4949
(304) 263-8725
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10389
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130592000
—
WV
Enumeration date
03/09/2007
Last updated
08/22/2020
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