Provider Demographics
NPI:1083958565
Name:UNIVERSITY HEALTHCARE PHYSICIANS, INC
Entity Type:Organization
Organization Name:UNIVERSITY HEALTHCARE PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KONRAD
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-264-9202
Mailing Address - Street 1:2500 FOUNDATION WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-9000
Mailing Address - Country:US
Mailing Address - Phone:304-264-9202
Mailing Address - Fax:304-264-9042
Practice Address - Street 1:2000 FOUNDATION WAY
Practice Address - Street 2:STE 2600
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9003
Practice Address - Country:US
Practice Address - Phone:304-264-9202
Practice Address - Fax:304-264-9042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty