Healthcare Provider Details
I. General information
NPI: 1285633230
Provider Name (Legal Business Name): OHIO VALLEY PATHOLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2005
Last Update Date: 10/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4000 JOHNSON RD TRINITY MEDICAL CENTER WEST
STEUBENVILLE OH
43952-2300
US
IV. Provider business mailing address
PO BOX 2070
WEIRTON WV
26062-1270
US
V. Phone/Fax
- Phone: 740-264-8188
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HIMANSHU
M
DOSHI
Title or Position: PRESIDENT
Credential: MD
Phone: 740-264-8188