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Individual

DR. CHANDRA PRAKASH SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8461
Mailing address
PO BOX 634712, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10379
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007308787
VA
05
0128112000
WV
Enumeration date
06/14/2006
Last updated
11/29/2007
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