Marion Lung Clinic in Fairmont - Pulmonary Disease
Marion Lung Clinic - NPI 1053468900
Marion Lung Clinic is a Pulmonary Disease in Fairmont, . Marion Lung Clinic practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Marion Lung Clinic is 1053468900. The last update date is 2008-08-06.
Marion Lung Clinic's current location address is 1325 Locust Ave, Fairmont, . You can contact this provider via phone number 3043637773 and fax number 3043637773. The mailing address for Marion Lung Clinic is 1325 Locust Ave, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marion Lung Clinic |
|---|---|
| Address | 1325 Locust Ave, Fairmont, |
| Phone Number | 3043637773 |
| Fax Number | 3043637773 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Devabhaktuni V Prasad |
| Credentials | MD |
| Telephone Number | 3043637773 |
NPI Number Detail
| NPI Number | 1053468900 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | 1325 Locust Ave |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 265541435 |
| Phone Number | 3043637773 |
| Fax Number | 3043637773 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710138 | WV | BCBS GROUP NUMBER | |
| 9095000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Marion Lung Clinic by the Centers for Medicare & Medicaid Services?
The Marion Lung Clinic has been assigned the NPI (National Provider Identifier) 1053468900 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Marion Lung Clinic is physically located?
The Marion Lung Clinic is situated at the following address: 1325 Locust Ave, Fairmont, WV 265541435.
What is the area of specialization for Marion Lung Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marion Lung Clinic is Pulmonary Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rp1001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053468900 to Marion Lung Clinic?
The Marion Lung Clinic received its 1053468900 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information pertaining to Marion Lung Clinic most recently updated or revised?
The details related to Marion Lung Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-06.