DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MOHAMAD SAMAH KALOU, MD

Active Sole Proprietor

DR. MOHAMAD SAMAH KALOU, MD is a Addiction Medicine (Family Practice) healthcare provider located in CHARLESTON, West Virginia. NPI 1619065190 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · CHARLESTON, WV

Registration Details

NPI Number
1619065190
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2006 (19.828751751401 yrs)
Last Updated
Aug 26, 2020
Licenses
22493 (WV)
35.088590 (OH)
22493 (WV)
Sole Proprietor
Yes

Practice Information

Address
5240 MACCORKLE AVE SE
CHARLESTON, WV, 253042122
Browse WV providers · Browse ZIP 25304
Phone
3049262300
Fax
3049262304
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X
Additional Specialty
Family Medicine

Other Addiction Medicine (Family Practice) Providers in CHARLESTON, WV

Name Credential NPI
DR. AMANDA MARIE BORROR DO 1518278118
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.