Individual
KUMAR RAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 STANAFORD RD, SUITE 202, BECKLEY, WV 25801
(304) 255-3603
(304) 255-5862
Mailing address
PO BOX 107, STANAFORD, WV 25927
(304) 255-3603
(304) 255-5862
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25386
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007228
METROPLUSGOLD
NY
Enumeration date
03/18/2011
Last updated
09/24/2015
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