| Charleston Medical Associates, Pllc | |
|
331 Laidley St Suite 507 Charleston WV 25301-1619 | |
| (304) 720-1963 | |
| (304) 720-1966 |
| Full Name | Charleston Medical Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 331 Laidley St, Charleston, West Virginia |
| Authorized Official Name and Position | Amer M Malas (OWNER, MANAGING MEMBER) |
| Authorized Official Contact | 3044142070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Medical Associates, Pllc Po Box 1685 Charleston WV 25326-1685 Ph: (304) 346-9400 | Charleston Medical Associates, Pllc 331 Laidley St Suite 507 Charleston WV 25301-1619 Ph: (304) 720-1963 |
| NPI Number | 1851439202 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851439202 | NPI | - | NPPES |
| 1071392 | Other | WV | BRICKSTREET GROUP |
| 2154761 | Other | WV | OHIO MEDICAID |
| 3810008403 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18266 (West Virginia) | Primary |
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