Provider Demographics
NPI:1629061973
Name:AL-ASADI, LO'AY M (MD)
Entity Type:Individual
Prefix:DR
First Name:LO'AY
Middle Name:M
Last Name:AL-ASADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 CHESTERFIELD AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1066
Mailing Address - Country:US
Mailing Address - Phone:304-346-0311
Mailing Address - Fax:304-346-5533
Practice Address - Street 1:2335 CHESTERFIELD AVE STE 102
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1066
Practice Address - Country:US
Practice Address - Phone:304-925-7676
Practice Address - Fax:304-925-7679
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV16919207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV550767806004OtherBLUE CROSS BLUE SHIELD NO
WV0075240000Medicaid
WV290012816OtherRAILROAD MEDICARE NO
WV290103OtherMAMSI GROUP NO.
WV4000227000Medicaid
WV290103OtherMAMSI GROUP NO.
WVSL9308481Medicare ID - Type UnspecifiedMEDICARE GROUP NO.
WV0075240000Medicaid