Charleston Cardiovascular

LBN: Charleston Cardiovascular
Charleston Cardiovascular is an health care organization with primary practice located at 331 Laidley St Suite 402, Charleston WV 25301-1619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Charleston Cardiovascular can be contacted via phone (304) 792-6275, or through Hallak, Omar via phone (304) 792-6275.

Contact Information

Primary practice address
331 Laidley St Suite 402 Charleston WV 25301-1619
Phone: (304) 792-6275
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hallak, Omar Doctor of Medicine (MD)
Phone: (304) 792-6275

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19813 West Virginia

Profile Details

NPI number 1316127665
LBN Legal business name Charleston Cardiovascular
DBA Doing business as
Authorized official Hallak, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2007
Last updated Nov 4th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316127665 NPPES
West Virginia MEDICAID 6000241000

Popular Providers