Individual
MICHELLE LYNN RATNAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 CHENOWETH CREEK RD, ELKINS, WV 26241-9237
(304) 637-2360
(304) 637-2362
Mailing address
PO BOX 2831, WEST VIRGINIA GASTROENTEROLOGY & ENDOSCOPY, ELKINS, WV 26241-2831
(304) 637-2360
(304) 637-2362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00633
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001763928
MOUNTAIN STATE BCBS
WV
01
—
WV633
HEALTH PLAN
WV
Enumeration date
09/06/2006
Last updated
04/26/2018
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