Mitias, Abraham S

Mitias, Abraham S is an individual health care provider with primary practice located at 331 Laidley St Suite 301, Charleston WV 25301-1619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Mitias, Abraham S can be contacted via phone (304) 346-4400.

Contact Information

Primary practice address
331 Laidley St Suite 301 Charleston WV 25301-1619
Phone: (304) 346-4400
Fax: (304) 346-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35097037 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 22677 West Virginia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 22677 West Virginia

Profile Details

NPI number 1750328241
LBN Legal business name Mitias, Abraham S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 6th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750328241 NPPES
West Virginia MEDICAID 3810009024
West Virginia MEDICAID 2766412
West Virginia MEDICAID 7100019950

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