Cross Lanes Internal Medicine Group INC
NPI #1760471171 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1760471171
- Entity Type
- Organization
- Organization Name
- Cross Lanes Internal Medicine Group INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 18, 2005
- Last Updated
- Jul 10, 2015
Practice Location
- Address
- 117 GOFF MOUNTAIN RD
- Address 2
- CROSS LANES INTERNAL MEDICINE GROUP INC
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1434
- Phone
- (304) 776-2072
Authorized Official
- Name
- MR. ARVIND Z VIRADIA, MD
- Title
- PRESIDENT
- Phone
- (304) 776-2072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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| Mark L. Douglas, Do | |
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