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2828 1st Ave Suite #500 Huntington WV 25702 | |
| (304) 525-6440 | |
| (304) 525-1099 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 2828 1st Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Mysore G Narayan (PRESIDENT) |
| Authorized Official Contact | 3045256440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 288 Barboursville WV 25504 Ph: (304) 525-6440 | 2828 1st Ave Suite #500 Huntington WV 25702 Ph: (304) 525-6440 |
| NPI Number | 1962458687 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962458687 | NPI | - | NPPES |
| 0437478 | Medicaid | OH | |
| 0083330000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12322 (West Virginia) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 12322 (West Virginia) | Primary |
Tri-state Private Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2547 3rd Ave, Huntington, WV 25703 Phone: 304-638-9128 | |
Valley Health Systems, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4270 Us Route 60, Huntington, WV 25705 Phone: 304-781-5001 Fax: 304-781-5002 | |
Valley Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 3rd Ave, Huntington, WV 25703 Phone: 304-697-1396 Fax: 304-697-2086 | |
Cabell Huntington Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2000 Fax: 304-526-4846 |