Huntington Dermatology, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

WV 08782 Issued in WV

Legal business name

HUNTINGTON DERMATOLOGY, INC.

Practice address

1321 Hal Greer Blvd
Huntington, WV 25701-3803

Phone

(304) 523-5100

Fax

(304) 523-1750

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Nazem Abraham, MD

Title

President

Phone

(304) 523-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1376621144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013803",
            "telephone_number": "304-523-5100",
            "fax_number": "304-523-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013803",
            "telephone_number": "304-523-5100",
            "fax_number": "304-523-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "NAZEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-523-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "WV 08782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Huntington, WV
• Providers in Huntington, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.