Healthcare Provider Details

I. General information

NPI: 1104747591
Provider Name (Legal Business Name): ABDUL NASER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 MAIN ST W
OAK HILL WV
25901-3453
US

IV. Provider business mailing address

435 MAIN ST W
OAK HILL WV
25901-3453
US

V. Phone/Fax

Practice location:
  • Phone: 681-463-6242
  • Fax:
Mailing address:
  • Phone: 681-463-6242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: