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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265530752 | NPPES |
| West Virginia | MEDICAID | 3810001682 |
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