Individual
DR. MANU N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-0419
(304) 645-4043
Mailing address
PO BOX 941, BECKLEY, WV 25802-0941
(304) 255-0419
(304) 645-4713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15274
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0753254
—
WV
01
—
1191193
CHA
WV
01
—
2138876
MAMSI-UNITED HEALTHCARE
WV
01
—
55075925700
WORKERS COMP
WV
01
—
82031
CARELINK
WV
01
—
P00297026
RAILROAD MEDICARE
—
Enumeration date
01/09/2007
Last updated
07/08/2007
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