Whalio Doctors

NPI 1124088380

Iraj Derakhshan, MD

Practitioner Specialist Charleston, WV

Practice location

Address
1206 Quarrier St Suite 101, Charleston, WV 25301-1810
Phone
(304) 343-4098
Fax
(304) 343-4598
Mailing address
1206 Quarrier St STE 101, Charleston, WV 25301-1810

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 18591 (WV)

Registry record

NPI
1124088380
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Mar 2006
Record last updated
13 May 2014

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.