GHAZALA QUDDUS, M.D., INC.
NPI 1184658007
Internal Medicine - Nephrology in Logan, WV

Active since July 10, 2006
167 STOLLINGS AVE, LOGAN, WV 25601(304) 752-8800(304) 752-9000 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ghazala Quddus, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GHAZALA QUDDUS, M.D., INC. (NPI 1184658007) is a healthcare organization registered as a nephrology in Logan, West Virginia and active in the NPI registry since July 2006. The organization lists Shannon Lewis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184658007
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGHAZALA QUDDUS, M.D., INC.
Location Address167 STOLLINGS AVELogan, WV 25601-4010
Mailing Address167 Stollings AveLogan, WV 25601-4010 · (304) 752-8800 · Fax (304) 752-9000
Fax(304) 752-9000
Organization SubpartNo
Authorized OfficialShannon LewisOffice Manager · (304) 752-3883
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 8, 2008
NPI 1184658007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
167 STOLLINGS AVE, Logan, WV 25601

Other Identifiers 8

Other=========005WV · Mt State Bc,bs Group #
Medicare PIN7667KY
Medicare PIN6565KY
Medicare PIN6859KY
Medicare PIN6566KY
Medicare PINGH9308261WV
Medicaid4000440000WV
Medicaid65920670KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
167 STOLLINGS AVE, SUITE B
LOGAN, WV 25601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ghazala Quddus, M.D., Inc.'s NPI number?

The NPI number for Ghazala Quddus, M.D., Inc. is 1184658007. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Ghazala Quddus, M.D., Inc. located?

Ghazala Quddus, M.D., Inc. is located at 167 Stollings Ave, Logan, WV 25601. The listed phone number is (304) 752-8800.

What is Ghazala Quddus, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Ghazala Quddus, M.D., Inc. was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.