IndividualActive
Tarek Anderson, M.D.
NPI 1841365640 · Neonatal-Perinatal Medicine Physician · South Charleston, WV
Provider details
- NPI number
- 1841365640
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18922 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4605 Maccorkle Ave Sw
South Charleston, WV 25309-1311
Phone: (304) 346-9400
Fax: (304) 345-7320
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box L2560
Columbus, OH 43260-0001
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.