Provider Demographics
NPI:1730125972
Name:CENDANA, GRACIANO E JR (MD)
Entity Type:Individual
Prefix:MR
First Name:GRACIANO
Middle Name:E
Last Name:CENDANA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3200 MACCORKLE AVE SE
Mailing Address - Street 2:CAMC MEMORIAL HOSPITAL
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1227
Mailing Address - Country:US
Mailing Address - Phone:304-388-5550
Mailing Address - Fax:304-388-4352
Practice Address - Street 1:3200 MACCORKLE AVE SE
Practice Address - Street 2:CAMC MEMORIAL HOSPITAL
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1227
Practice Address - Country:US
Practice Address - Phone:304-388-5550
Practice Address - Fax:304-388-4352
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WV09414207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology