Khorshad, Miraflor G

Khorshad, Miraflor G is an individual health care provider with primary practice located at 415 Main St , Summersville WV 26651-1343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Khorshad, Miraflor G can be contacted via phone (304) 872-5500.

Contact Information

Primary practice address
415 Main St Summersville WV 26651-1343
Phone: (304) 872-5500
Fax: (304) 872-5592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13212 West Virginia

Profile Details

NPI number 1295824365
LBN Legal business name Khorshad, Miraflor G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295824365 NPPES
West Virginia MEDICAID 0049819000

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