Kalou, Mohamad Samah
Kalou, Mohamad Samah is an sole proprietor health care provider with primary practice located at 5240 Maccorkle Ave Se , Charleston WV 25304-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Kalou, Mohamad Samah can be contacted via phone (304) 926-2300.Contact Information
Primary practice address
5240 Maccorkle Ave Se
Charleston WV 25304-2122
Phone: (304) 926-2300
Fax: (304) 926-2304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22493 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.088590 | Ohio |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 22493 | West Virginia |
Profile Details
| NPI number | 1619065190 |
|---|---|
| LBN Legal business name | Kalou, Mohamad Samah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 26th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619065190 | NPPES |
| West Virginia | Other | 001902627 | BCBS |
| West Virginia | MEDICAID | 3810006491 | BCBS |
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