# PRAKASH PURANIK PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356513311
- **Authorized official:** MRS. GENEVA L LYNCH (OFFICE MANAGER)
- **Authorized official phone:** (304) 253-5793

## Contact information

- **Practice address:** 250 STANAFORD RD, SUITE ONE, BECKLEY, WV 25801-3140
- **Practice address phone:** (304) 253-5793
- **Practice address fax:** (304) 253-0166
- **Mailing address:** PO BOX 787, CRAB ORCHARD, WV 25827-0787
- **Mailing address phone:** (304) 253-5793
- **Mailing address fax:** (304) 253-0166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810002569 | — | WV |