Individual
DR. NITESH RATNAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.; FACG
Contact information
Practice address
55 CHENOWETH CREEK RD, ELKINS, WV 26241-9237
(304) 637-2360
(304) 637-2362
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22218
WV
207RG0100X
Gastroenterology Physician
Primary
22218
WV
207RG0100X
Gastroenterology Physician
35.096331
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
22218
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001880418
MOUNTAIN STATE BCBS
WV
01
—
05723713
ECFMG
—
05
—
3130356
—
OH
05
—
3810005835
—
WV
01
—
P00337365
RAILROAD MEDICARE
WV
01
—
P00917561
RAILROAD MEDICARE
WV
01
—
WV22218
HEALTH PLAN
WV
Enumeration date
07/09/2006
Last updated
11/01/2021
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