Organization Name: | RAJAN B. MASIH, MD, PLLC |
NPI Number: | 1740437003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAJAN B. MASIH (OWNER/MD) |
Mailing Address: | 712 N Main St Suite 201 Moorefield |
State: | WV US |
Postal Code: | 268361092 |
Phone Number: | 3045304999 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 19166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |