NPI 1003980541

South Branch Surgical Associates INC

Organisation Surgery Physician Petersburg, WV

Practice location

Address: Grant Memorial Hospital Route 55, Petersburg, WV 26847-0788
Phone: (304) 257-4331
Fax: (304) 257-2891
Mailing address: PO Box 788, Petersburg, WV 26847-0788

Authorised official

Name: Anil K Makani
Title: President
Phone: (304) 257-4331

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 15545 (WV)

Other Surgery providers in West Virginia →

Registry record

NPI: 1003980541
Entity type: Organization
NPI issued: 17 Nov 2006
Record last updated: 22 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.