Dr. Mohammad Roidad
Gastroenterologist
1614 Locust Ave
Fairmont
, West Virginia 26554-1319
Dr. Mohammad Roidad
Gastroenterologist
1614 Locust Ave
Fairmont
, West Virginia 26554-1319
(304) 366-3464
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Mohammad Roidad
- 1614 Locust Ave
- Fairmont, WV
- Zip : 26554-1319
- Fax : (304) 366-3464
- Phone : (304) 363-6659
Second Address
- Dr. Mohammad Roidad
- 1614 Locust Ave
- Fairmont, WV
- Zip : 26554-1319
- Fax : (304) 366-3464
- Phone : (304) 363-6659
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 12336 | WV |
National Provider Identifier
| NPI | 1033166830 |
|---|---|
| Provider Name | Dr. Mohammad Roidad |
| First Address | Fairmont, WV 26554-1319 |
| Second Address | Fairmont, WV 26554-1319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2006 |
| Last Update Date | 20/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0083265000 | (05) | WV |
| D49320 | (02) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.