AMJAD H. ALWAAL


Address: 1115 20th St Ste 107, Huntington, WV 25703-0003
Phone: 3046911900

AMJAD H. ALWAAL (NPI# 1194153825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194153825
Entity Type Individual
Full Name AMJAD H. ALWAAL
Credential MD
Practice Address 1115 20th St Ste 107
Huntington
WV 25703-0003
Mailing Address 1249 15th St Ste 4093
Huntington
WV 25701-3662
Practice Telephone 3046911900
Practice Fax Number 3046911929
Enumeration Date 2013-10-15
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 28042 WV Allopathic & Osteopathic Physicians
N 208800000X Urology 4301099931 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1600 Divisadero Street, Suite A609, Ucsf Department of Urology, San Francisco, CA 94115 4158857748

Office Location

Street Address 1115 20TH ST STE 107
City HUNTINGTON
State WV
Zip Code 25703-0003

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NPI Name Taxonomy Address Enumeration
1710590021 Jasmine Maynard Student in an Organized Health Care Education/Training Program 1538 Charleston Ave, Huntington, WV 25703 2020-08-26
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1447612742 Ruthie Cooper Psychiatry & Neurology 1115 20th St # 205, Huntington, WV 25703 2016-03-25
1194047548 Peggy Jo Proudfoot Harman Counselor 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 2010-02-25
1598837460 Frederick H Sammons Dds Ltd Dentist 1040 20th St, Huntington, WV 25703 2006-11-15
1649368291 Sportscare Medical Associates, Inc. Neuromusculoskeletal Medicine, Sports Medicine 320 Lynda Ct, Huntington, WV 25703 2006-10-10
1902906019 Tri-state Allergy, Inc Allergy & Immunology 1001 20th Street, Huntington, WV 25703 2006-09-25
1568472512 Jamie R Stoner Nurse Practitioner 2501 3rd Avenue, Huntington, WV 25703 2006-08-09
1790717940 Jeffrey T Boggess Psychologist 1115 20th Street, Suite 205, Huntington, WV 25703 2006-07-07
1184699415 Valley Health Systems Inc Obstetrics & Gynecology 2585 3rd Ave, Huntington, WV 25703 2006-02-21
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558496489 Rajendra K Jain Urology Inc Urology 2828 First Ave Suite 204, Huntington, WV 25702 2007-02-22
1245310762 Huntington Urological Assoc Lab Urology 2860 3rd Avenue, Suite 230, Huntington, WV 25702-1453 2006-10-17
1649286568 Charles T. Hennings Urology 634 Park Ave, Huntington, NY 11743-3833 2006-07-31
1295734598 Eric J Sacknoff Urology 2900 1st Ave Ste 230, Huntington, WV 25702-1241 2005-07-19
1699772665 Charles Stephen Woolums Urology 5170 Us Route 60, Huntington, WV 25705-2004 2005-07-05
1215932785 George R Beneke Urology 1540 Spring Valley Dr, Huntington, WV 25704-9300 2005-06-20
1033340013 Kip L Bodi Physician Facs Pllc Urology 775 Park Ave, Suite 262, Huntington, NY 11743-3976 2009-08-07
1790938595 North Shore Medical Group Urology 21 Southdown Rd, Huntington, NY 11743-2538 2008-10-24
1851562342 Paul Jason Shannon Urology 21 Southdown Rd, Huntington, NY 11743-2538 2008-03-12
1366649642 Rocco Anthony Morabito Jr. Urology 2860 3rd Ave, Suite 230, Huntington, WV 25702-1454 2007-06-29
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City HUNTINGTON
Zip Code 25703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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