Provider Demographics
NPI:1124115829
Name:MUZAFFER, RAHMET (MD)
Entity type:Individual
Prefix:DR
First Name:RAHMET
Middle Name:
Last Name:MUZAFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1012
Mailing Address - Street 2:
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801-1012
Mailing Address - Country:US
Mailing Address - Phone:304-436-8400
Mailing Address - Fax:304-436-8401
Practice Address - Street 1:520 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:WELCH
Practice Address - State:WV
Practice Address - Zip Code:24801-2335
Practice Address - Country:US
Practice Address - Phone:304-436-8400
Practice Address - Fax:304-436-8400
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17733208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0D6733476Medicaid
WV0109296000Medicaid
F90529Medicare UPIN