| Dr. Raghda Sahloul, Inc. | |
|
3100 Maccorkle Ave Se Suite 606 Charleston WV 25304 | |
| (304) 345-8665 | |
| (304) 345-8662 |
| Full Name | Dr. Raghda Sahloul, Inc. |
|---|---|
| Speciality | Specialist |
| Location | 3100 Maccorkle Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Deborah Rogers Kinder (OFFICE MANAGER) |
| Authorized Official Contact | 3043458665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Raghda Sahloul, Inc. 3100 Maccorkle Ave Se Suite 606 Charleston WV 25304 Ph: (304) 345-8665 | Dr. Raghda Sahloul, Inc. 3100 Maccorkle Ave Se Suite 606 Charleston WV 25304 Ph: (304) 345-8665 |
| NPI Number | 1457536492 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457536492 | NPI | - | NPPES |
| 1841086000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 20791 (West Virginia) | Secondary |
| 174400000X | Specialist | 20791 (West Virginia) | Primary |
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