Individual
DR. KARUNASREE KANURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1115 2ND AVE, WEST LOGAN, WV 25601-3309
(304) 831-0085
(304) 831-0088
Mailing address
1115 2ND AVE, WEST LOGAN, WV 25601-3309
(304) 831-0085
(304) 831-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22060
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003597
—
WV
Enumeration date
10/12/2006
Last updated
07/08/2007
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