Individual
RAJEEV WINFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2734 SUNCREST VLG, MORGANTOWN, WV 26505-3844
(304) 685-6218
(304) 368-5204
Mailing address
PO BOX 696, MORGANTOWN, WV 26507-0696
(304) 685-6218
(304) 368-5204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19812
WV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
19812
WV
208000000X
Pediatrics Physician
19812
WV
208M00000X
Hospitalist Physician
19812
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000605000
—
WV
Enumeration date
06/19/2005
Last updated
09/08/2009
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