Provider Demographics
NPI:1174630321
Name:HARVEY, HAROLD EDWARD II (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:EDWARD
Last Name:HARVEY
Suffix:II
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 1:214 PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3624
Mailing Address - Country:US
Mailing Address - Phone:304-252-5343
Mailing Address - Fax:304-252-6542
Practice Address - Street 1:214 PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3624
Practice Address - Country:US
Practice Address - Phone:304-252-5343
Practice Address - Fax:304-252-6542
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17024207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0075038000Medicaid
4227311Medicare PIN
F40268Medicare UPIN