Provider Demographics
NPI:1598804874
Name:RHEUMATOLOGY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISTFAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-343-3888
Mailing Address - Street 1:500 DONNALLY ST
Mailing Address - Street 2:B 303
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301
Mailing Address - Country:US
Mailing Address - Phone:304-343-3888
Mailing Address - Fax:304-343-3565
Practice Address - Street 1:500 DONNALLY ST
Practice Address - Street 2:B 303
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301
Practice Address - Country:US
Practice Address - Phone:304-343-3888
Practice Address - Fax:304-343-3565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty