DR. FARRUKH M JALISI (NPI# 1174621346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174621346 |
| Entity Type | Individual |
| Full Name | DR. FARRUKH M JALISI |
| Credential | MD |
| Practice Address |
2000 Foundation Way Ste 3100 Robert C Byrd Health Sciences Center Martinsburg WV 25401-9198 |
| Mailing Address |
2000 Foundation Way Ste 3100 Martinsburg WV 25401-9198 |
| Practice Telephone | 3043503273 |
| Practice Fax Number | 3043503275 |
| Mailing Telephone | 3043503273 |
| Mailing Fax Number | 3043503275 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 20266 | WV | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01065461 | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101247118 | VA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
241683 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20266 | WV | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01065461 | IN | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101247118 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
241683 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
20266 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00858196 | 01 | |
| WV | 3810018590 | 05 | |
| OH | 3091112 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12502 Willowbrook Rd, Cumberland, MD 215026491 | 2409648740 |
| Street Address |
2000 FOUNDATION WAY STE 3100 ROBERT C BYRD HEALTH SCIENCES CENTER |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649596891 | Naseem Alexa Jahdi | Internal Medicine | 2000 Foundation Way Ste 3100, Martinsburg, WV 25401-9198 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982143814 | Emilee Huffman | Internal Medicine | 510 Cherry St Ste 101, Bluefield, WV 24701-3336 | 2017-02-12 |
| 1447458401 | Showri Madan Manohar Karnam | Internal Medicine | 600 18th St Ste 512, Parkersburg, WV 26101-3236 | 2007-07-10 |
| 1588711089 | Frank Rivas | Internal Medicine | 1302 4th Ave, Huntington, WV 25701-2401 | 2007-01-05 |
| 1093806259 | Frank Rivas Md Inc | Internal Medicine | 1302 Fourth Ave, Huntington, WV 25704 | 2006-09-27 |
| 1689771149 | Mitchell N. Rashid | Internal Medicine | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2006-09-19 |
| 1720076334 | Mark C Bates | Internal Medicine | 2345 Chesterfield Ave, Suite 302, Charleston, WV 25304-1062 | 2005-10-07 |
| 1770069163 | Dembal Heart & Vascular Pllc | Internal Medicine | 250 Stanaford Rd, Beckley, WV 25801 | 2018-07-18 |
| 1336632660 | Mountaineer Cardiology Pllc | Internal Medicine | 2345 Chesterfield Ave Ste 302, Charleston, WV 25304-1064 | 2018-06-12 |
| 1700246220 | Beckley Cardiovascular Specialists Inc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2016-02-25 |
| 1699132696 | Wheeling Hospital, Inc. | Internal Medicine | 58 16th St, Wheeling, WV 26003-3660 | 2016-01-21 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on DR. FARRUKH M JALISI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.