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PEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC
NPI 1609216605
Pediatrics - Pediatric Gastroenterology in South Charleston, WV

Active since July 05, 2013
428 DIVISION ST, SUITE 3A, SOUTH CHARLESTON, WV 25309(304) 400-4626 Get Directions Write a Review

NPPES record last updated: November 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Gastroenterology Of Charleston, Pllc NPPES

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

PEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC (NPI 1609216605) is a healthcare organization registered as a pediatric gastroenterology in South Charleston, West Virginia and active in the NPI registry since July 2013. The organization lists Ahmed Dahshan, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1609216605
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NamePEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC
Location Address428 DIVISION ST, SUITE 3ASouth Charleston, WV 25309-1469
Mailing Address428 Division St, Suite 3aSouth Charleston, WV 25309-1469 · (304) 400-4626
Phone(304) 400-4626
Organization SubpartNo
Authorized OfficialAhmed DahshanPhysician/owner · (304) 400-4626
Enumeration DateJuly 5, 2013
Last NPPES UpdateNovember 26, 2013
✔ NPI 1609216605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WV · 24418
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
428 DIVISION ST, South Charleston, WV 25309
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Other Identifiers 3

Medicare PINWV0491A
Medicaid381002088WV
Medicare UPINF59263WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

SOUTH CHARLESTON CARDIODIAGNOSTICS
Clinical Medical Laboratory
428 DIVISION ST, 1ST FLOOR
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-9617
DR. BADSHAH J. WAZIR M.D., F.A.C.C.
Specialist
428 DIVISION ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-7400
ACTIVATE HEALTHCARE - TEAMSTERS 175 & 505 CLINIC
Clinic/Center (Primary Care)
428 DIVISION ST, SUITE 2
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-0321
SOUTH CHARLESTON CARDIOLOGY ASSOCIATES
Specialist
428 DIVISION ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3688
SPRINGHILL CARDIOLOGY, PLLC
Specialist
428 DIVISION ST, SUITE 1A
S CHARLESTON, WV 25309
Kanawha County (304) 766-9617
KIMALISA KAY SHAMBLIN BA, RT(R)(CT), RVT
Radiologic Technologist (Computed Tomography)
428 DIVISION ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-9617

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 Pediatric Gastroenterology Of Charleston, PLLC's NPI number?

The NPI number for Pediatric Gastroenterology Of Charleston, PLLC is 1609216605. It was assigned to this organization in the NPPES registry on July 5, 2013.

Where is Pediatric Gastroenterology Of Charleston, PLLC located?

Pediatric Gastroenterology Of Charleston, PLLC is located at 428 Division St Suite 3A, South Charleston, WV 25309. The listed phone number is (304) 400-4626.

What is Pediatric Gastroenterology Of Charleston, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Pediatric Gastroenterology Of Charleston, PLLC was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.