Healthcare Provider Details

I. General information

NPI: 1982134508
Provider Name (Legal Business Name): FUTURE MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 06/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 CHESTERFIELD AVE STE 302
CHARLESTON WV
25304-1066
US

IV. Provider business mailing address

2335 CHESTERFIELD AVE STE 302
CHARLESTON WV
25304-1066
US

V. Phone/Fax

Practice location:
  • Phone: 304-925-3535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS SALDANHA
Title or Position: MANAGING MEMBER
Credential:
Phone: 304-925-9300