IndividualActive
Mohamad Kalou, MD
NPI 1619065190 · Addiction Medicine (Family Medicine) Physician · Charleston, WV
Provider details
- NPI number
- 1619065190
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22493 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5240 Maccorkle Ave Se
Charleston, WV 25304-2122
Phone: (304) 926-2300
Fax: (304) 926-2304
Approximate (ZIP-level) locationGet directions
Mailing address
500 Poplar St
South Charleston, WV 25309-1474
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.