Iraj Derakhshan is a Specialist in Charleston, . Iraj Derakhshan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Iraj Derakhshan is 1124088380. The last update date is 2014-05-13.
Iraj Derakhshan's current location address is 1206 Quarrier St Ste 101, Charleston, . You can contact this provider via phone number 3043434098 and fax number 3043434598. The mailing address for Iraj Derakhshan is 1206 Quarrier St Ste 101, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iraj Derakhshan |
|---|---|
| Address | 1206 Quarrier St Ste 101, Charleston, |
| Phone Number | 3043434098 |
| Fax Number | 3043434598 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124088380 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2014-05-13 |
Provider Mailing Address Detail
| Address | 1206 Quarrier St Ste 101 |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253011810 |
| Phone Number | 3043434098 |
| Fax Number | 3043434598 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18591 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102711 | WV | BCBS | |
| 90508000 | WV | -- |
Post Comment/ Review Below
What is the Iraj Derakhshan's 1124088380?
The Iraj Derakhshan's NPI (National Provider Identifier) Number is 1124088380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Iraj Derakhshan's facilities are situated?
The facilities of Iraj Derakhshan are physically located at the following address: 1206 Quarrier St Ste 101, Charleston, WV, 253011810.
What is the area of specialization for Iraj Derakhshan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Iraj Derakhshan is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Iraj Derakhshan receive the assignment of its 1124088380 from the Centers for Medicare & Medicaid Services?
The Iraj Derakhshan was issued its 1124088380 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the information pertaining to Iraj Derakhshan most recently updated or revised?
The details related to Iraj Derakhshan, including its address, specialty, and other relevant information, were last updated or revised on 2014-05-13.