| Panhandle Gastroenterology, Pllc | |
|
2000 Foundation Way Suite 3500 Martinsburg WV 25401-9583 | |
| (304) 260-0160 | |
| (304) 260-0162 |
| Full Name | Panhandle Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Foundation Way, Martinsburg, West Virginia |
| Authorized Official Name and Position | Shahin M Rahimian (OWNER) |
| Authorized Official Contact | 3042600160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Gastroenterology, Pllc 2000 Foundation Way Suite 3500 Martinsburg WV 25401-9583 Ph: (304) 260-0160 | Panhandle Gastroenterology, Pllc 2000 Foundation Way Suite 3500 Martinsburg WV 25401-9583 Ph: (304) 260-0160 |
| NPI Number | 1801098835 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 09/25/2014 |
| Medicare PECOS PAC ID | 0648490128 |
|---|---|
| Medicare Enrollment ID | O20141003002213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801098835 | NPI | - | NPPES |
| 001767978 | Other | WV | BLUE CROSS BLUE SHEILD |
| 3810003032 | Medicaid | WV | |
| 001767952 | Other | WV | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2108 (West Virginia) | Primary |
| Provider Name | Shahin M Rahimian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174581763 PECOS PAC ID: 5698706638 Enrollment ID: I20050901000005 |
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