NPIMap

Organization Active NPI

Dr. Raghda Sahloul, Inc.

  • Specialist
  • Charleston, WV
National Provider Identifier
1457536492
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20791 Issued in WV
Legal business name
DR. RAGHDA SAHLOUL, INC.
Practice address
3100 Maccorkle Ave SE
Suite 606
Charleston, WV 25304
Phone
(304) 345-8665
Fax
(304) 345-8662
NPI assigned
Jan 9, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Deborah Rogers Kinder
Title
Office Manager
Phone
(304) 345-8665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 20791 WV Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X 20791 WV

Addresses

Primary practice location

3100 Maccorkle Ave SE
Suite 606
Charleston, WV 25304

Mailing address

3100 Maccorkle Ave SE
Suite 606
Charleston, WV 25304
Phone (304) 345-8665

Other names 1

  • Dr. Raghda Sahloul MD Other name

National Provider Directory

National Provider Directory

Locations

4400 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 314-7030

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1457536492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 606",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-345-8665",
            "fax_number": "304-345-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 606",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-345-8665",
            "fax_number": "304-345-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAGHDA SAHLOUL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-345-8665"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "20791",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "20791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Raghda Sahloul MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.