Organization Name: | COEBURN CLINIC, INC |
NPI Number: | 1851656870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GURCHARAN SINGH KANWAL (PRESIDENT) |
Mailing Address: | 116 Center St Coeburn |
State: | VA US |
Postal Code: | 242302200 |
Phone Number: | 2763956244 |
Fax Number: | 2763953058 |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 0101021217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |