Organization Active NPI

Mohamad Arja

  • Internal Medicine Physician
  • Fairmont, WV
National Provider Identifier
1336263607
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042205 Issued in WV
Legal business name
MOHAMAD ARJA
Practice address
110 Gaston Ave
Fairmont, WV 26554-2818
Phone
(304) 367-0012
Fax
(304) 366-1092
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohamad Arja, MD
Title
Owner
Phone
(304) 367-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 042205 WV Primary

Addresses

Primary practice location

110 Gaston Ave
Fairmont, WV 26554-2818

Mailing address

110 Gaston Ave
Fairmont, WV 26554-2818
Phone (304) 367-0012

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1336263607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GASTON AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542818",
            "telephone_number": "304-367-0012",
            "fax_number": "304-366-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GASTON AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542818",
            "telephone_number": "304-367-0012",
            "fax_number": "304-366-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMAD ARJA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "ARJA",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-367-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "042205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.