Mohamad Samah Kalou in Charleston - Addiction Medicine
Mohamad Samah Kalou - NPI 1619065190
Mohamad Samah Kalou is a Addiction Medicine in Charleston, . Mohamad Samah Kalou practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mohamad Samah Kalou is 1619065190. The last update date is 2020-08-26.
Mohamad Samah Kalou's current location address is 5240 Maccorkle Ave Se, Charleston, . You can contact this provider via phone number 3049262300 and fax number 3049262304. The mailing address for Mohamad Samah Kalou is 5240 Maccorkle Ave Se, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mohamad Samah Kalou |
|---|---|
| Address | 5240 Maccorkle Ave Se, Charleston, |
| Phone Number | 3049262300 |
| Fax Number | 3049262304 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619065190 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-26 |
Provider Mailing Address Detail
| Address | 5240 Maccorkle Ave Se |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253042122 |
| Phone Number | 3049262300 |
| Fax Number | 3049262304 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 22493 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1902627 | WV | BCBS | |
| 3810006491 | WV | -- |
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What is the unique provider identifier assigned to Mohamad Samah Kalou?
The Mohamad Samah Kalou has been issued the NPI (National Provider Identifier) 1619065190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mohamad Samah Kalou located?
The Mohamad Samah Kalou is located at 5240 Maccorkle Ave Se, Charleston, WV 253042122.
What is Mohamad Samah Kalou's area of expertise and its corresponding taxonomy classification?
The Mohamad Samah Kalou's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Qa0401X, which categorizes healthcare providers based on their areas of practice.
When did Mohamad Samah Kalou receive its 1619065190 assignment?
The Mohamad Samah Kalou was assigned its 1619065190 on 2006-10-10, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mohamad Samah Kalou most recently updated or revised?
The details related to Mohamad Samah Kalou, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-26.