Amjad Medical Clinic Pllc
LBN: Amjad Medical Clinic Pllc
Amjad Medical Clinic Pllc is an health care organization with primary practice located at 330 N Eisenhower Dr , Beckley WV 25801. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Amjad Medical Clinic Pllc can be contacted via phone (304) 252-5900, or through Amjad, Quartel-Ayne via phone (304) 252-5900.
Contact Information
Primary practice address
330 N Eisenhower Dr
Beckley WV 25801
Phone: (304) 252-5900
Fax: (604) 252-5915
Website:
Authorized official contact:
Name: Amjad, Quartel-Ayne Doctor of Medicine (MD)
Phone: (304) 252-5900
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 24182 | West Virginia |
Profile Details
| NPI number | 1740599919 |
|---|---|
| LBN Legal business name | Amjad Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Amjad, Quartel-Ayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2010 |
| Last updated | Feb 15th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740599919 | NPPES |
| West Virginia | Other | 24182 | WV MEDICAL LICENSE |
| West Virginia | MEDICAID | 3810019138 | WV MEDICAL LICENSE |
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