Provider Demographics
NPI:1932305232
Name:DARBANDI, KOKAB CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:KOKAB
Middle Name:CHRISTINA
Last Name:DARBANDI
Suffix:
Gender:F
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:PO BOX 9160
Mailing Address - Street 2:1 MEDICAL CENTER DRIVE
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9160
Mailing Address - Country:US
Mailing Address - Phone:304-293-1964
Mailing Address - Fax:304-293-2544
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:PHYSICIANS OFFICE CENTER
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:304-293-1964
Practice Address - Fax:304-293-2544
Is Sole Proprietor?:No
Enumeration Date:2007-06-23
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV23649207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program