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NPI Code Detail

MEDICARE: DR. LOUIS OLIVER COLAIANNI M.D.

MEDICARE: DR. LOUIS OLIVER COLAIANNI M.D.
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
1207P00000XEmergency Medicine PhysicianMD467052PA
2207P00000XEmergency Medicine Physician31757WV

General Provider Information

NPI Number : 1790131134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS OLIVER COLAIANNI M.D.
Provider Business Mailing Address
First Line : 1200 J D ANDERSON DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-598-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1200 J D ANDERSON DR # A
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-598-1200
Fax Number : 304-598-1699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 03/24/2026

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