Organization
BLUEFIELD GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMALESH P PATEL M.D. (OWNER)
(304) 425-7243
Entity
Organization
Contact information
Practice address
405 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 425-7243
(304) 487-3525
Mailing address
405 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 425-7243
(304) 487-3525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807132
BLUECROSS BLUESHIELD
WV
05
—
3810004352
—
WV
01
—
CK3736
RAILROAD MEDICARE
WV
Enumeration date
01/22/2007
Last updated
11/21/2007
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