1124088380 NPI number — DR. IRAJ DERAKHSHAN MD

Table of content: DR. IRAJ DERAKHSHAN MD (NPI 1124088380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124088380 NPI number — DR. IRAJ DERAKHSHAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DERAKHSHAN
Provider First Name:
IRAJ
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124088380
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1206 QUARRIER ST STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25301-1810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-343-4098
Provider Business Mailing Address Fax Number:
304-343-4598

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1206 QUARRIER ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25301-1810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-343-4098
Provider Business Practice Location Address Fax Number:
304-343-4598
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  18591 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000102711 . This is a "BCBS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 0090508000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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