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NPI Code Detail

MEDICARE: DR. HAROLD GENE ROBERTS MD

MEDICARE: DR. HAROLD GENE ROBERTS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician2021029368MO
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician27738WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417936808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD GENE ROBERTS MD
Provider Business Mailing Address
First Line : 1200 J D ANDERSON DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-598-1996
Fax Number :
Provider Business Practice Location Address
First Line : 1200 J D ANDERSON DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-598-1996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 12/01/2025

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Directions to “ DR. HAROLD GENE ROBERTS MD” Practice Location

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