Ghazala Quddus, M.D., Inc.

LBN: Ghazala Quddus, M.D., Inc.
Ghazala Quddus, M.D., Inc. is an health care organization with primary practice located at 167 Stollings Ave , Logan WV 25601-4010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Ghazala Quddus, M.D., Inc. can be contacted via phone (304) 752-8800, or through Lewis, Shannon via phone (304) 752-3883.

Contact Information

Primary practice address
167 Stollings Ave Logan WV 25601-4010
Phone: (304) 752-8800
Fax: (304) 752-9000
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Shannon
Phone: (304) 752-3883

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1184658007
LBN Legal business name Ghazala Quddus, M.D., Inc.
DBA Doing business as
Authorized official Lewis, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated May 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184658007 NPPES
Kentucky MEDICAID 65920670
Kentucky MEDICAID 4000440000

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