East River Medical, Pllc

LBN: East River Medical, Pllc
East River Medical, Pllc is an health care organization with primary practice located at 512 Cherry St Building I, Bluefield WV 24701-3341. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East River Medical, Pllc can be contacted via phone (304) 324-2715, or through Amin, Mayank S via phone (304) 324-2715.

Contact Information

Primary practice address
512 Cherry St Building I Bluefield WV 24701-3341
Phone: (304) 324-2715
Fax: (304) 324-2774
Website:
Map and Directions
Authorized official contact:
Name: Amin, Mayank S Doctor of Medicine (MD)
Phone: (304) 324-2715

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20921 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19428 West Virginia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 20602 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 36628 West Virginia

Profile Details

NPI number 1265530752
LBN Legal business name East River Medical, Pllc
DBA Doing business as
Authorized official Amin, Mayank S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265530752 NPPES
West Virginia MEDICAID 3810001682

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