Organization
PHYSICIAN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITEESH BHARARA MD (PRESIDENT)
(205) 910-7056
Entity
Organization
Contact information
Practice address
1842 HARPER RD, BECKLEY, WV 25801-3366
(304) 237-3487
Mailing address
1842 HARPER RD, BECKLEY, WV 25801-3366
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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