Individual provider · Type 1 NPI
Mohamad Samah Kalou, MD
Addiction Medicine (Family Medicine) Physician · Charleston, WV
NPI number
1619065190
Active
Practice location
5240 Maccorkle Ave SE
Charleston, WV 25304-2122
Fax (304) 926-2304
Mailing address
500 Poplar St, Suite 204
South Charleston, WV 25309-1474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 22493 (WV) |
| Family Medicine Physician | 207Q00000X | 35.088590 (OH) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 22493 (WV) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
Other addiction medicine (family medicine) physician providers in Charleston
About NPI 1619065190
Mohamad Samah Kalou, MD's National Provider Identifier is 1619065190, issued on Oct 10, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Charleston, WV. The record was last updated on Aug 26, 2020.