Randy L Warren Md

LBN: Randy L Warren Md Pllc
Randy L Warren Md is an health care organization with primary practice located at 4501 Maccorkle Ave Sw Suite 202, Charleston WV 25309-1444. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Randy L Warren Md Pllc can be contacted via phone (304) 766-6666, or through Warren, Randy L via phone (304) 766-6666.

Contact Information

Primary practice address
4501 Maccorkle Ave Sw Suite 202 Charleston WV 25309-1444
Fax: (304) 766-0999
Website:
Authorized official contact:
Name: Warren, Randy L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21827 West Virginia

Profile Details

NPI number 1053583575
LBN Legal business name Randy L Warren Md Pllc
DBA Doing business as Randy L Warren Md
Authorized official Warren, Randy L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 16 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 1053583575 NPPES
West Virginia MEDICAID 3810002129

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