Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 18512 | WV |
N | 111NI0900X | Internist | 18512 | WV |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 18512 | WV |
NPI | 1013947241 |
---|---|
Provider Name | Samar Ryiad Sankari |
First Address | South Charleston, WV 25309-1311 |
Second Address | Charleston, WV 25314-4208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G43041 | (02) | WV |