| Ishimaru Medical Services LLC | |
|
507 Carolina Ave Chester WV 26034-1319 | |
| (304) 224-3583 | |
| (304) 459-5050 |
| Full Name | Ishimaru Medical Services LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 507 Carolina Ave, Chester, West Virginia |
| Authorized Official Name and Position | Richard Jack Diamond (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7248515312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ishimaru Medical Services LLC 507 Carolina Ave Chester WV 26034-1319 Ph: (304) 224-3583 | Ishimaru Medical Services LLC 507 Carolina Ave Chester WV 26034-1319 Ph: (304) 224-3583 |
| NPI Number | 1487399887 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487399887 | NPI | - | NPPES |
| 1700353539 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
C a Cahall MD, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Fox Ln, Chester, WV 26034 Phone: 304-387-3344 Fax: 304-387-3006 |
Christopher J. Kubicki, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 First Ave, Chester, WV 26034 Phone: 304-387-2761 |