Healthcare Provider Details
I. General information
NPI: 1487604534
Provider Name (Legal Business Name): HHP INTERNAL MEDICINE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2006
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3132 COLLINS FERRY RD
MORGANTOWN WV
26505-3305
US
IV. Provider business mailing address
3132 COLLINS FERRY RD
MORGANTOWN WV
26505-3305
US
V. Phone/Fax
- Phone: 304-598-2442
- Fax:
- Phone: 304-598-2442
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 01016 |
| License Number State | WV |
VIII. Authorized Official
Name: MRS.
GABRIELLA
G
HORVATH
Title or Position: PHYSICIAN
Credential: MD
Phone: 304-598-2442