Provider Demographics
NPI:1841270709
Name:ALIFF, DARA PORFELI (DO)
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:PORFELI
Last Name:ALIFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 OAKHURST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-2044
Mailing Address - Country:US
Mailing Address - Phone:304-720-4455
Mailing Address - Fax:304-720-0436
Practice Address - Street 1:1003 OAKHURST DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-2044
Practice Address - Country:US
Practice Address - Phone:304-720-4455
Practice Address - Fax:304-720-0436
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1814207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810000075Medicaid
WVAL6032301OtherMEDICARE NUMBER
WV3810000075Medicaid