| Melvin T Vidal Md Pllc | |
|
1313 Quarrier St Charleston WV 25301-6002 | |
| (304) 720-2060 | |
| Not Available |
| Full Name | Melvin T Vidal Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1313 Quarrier St, Charleston, West Virginia |
| Authorized Official Name and Position | Melvin T Vidal (OWNER) |
| Authorized Official Contact | 3047202060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melvin T Vidal Md Pllc Po Box 1055 Scott Depot WV 25560-1055 Ph: (304) 720-2060 | Melvin T Vidal Md Pllc 1313 Quarrier St Charleston WV 25301-6002 Ph: (304) 720-2060 |
| NPI Number | 1598984841 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598984841 | NPI | - | NPPES |
| 3810010643 | Medicaid | WV | |
| 110217977 | Other | WV | RR MEDICARE |
| DB2539 | Other | WV | FEDERAL BLACK LUNG |
| 001706078 | Other | WV | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19970 (West Virginia) | Primary |
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