Individual
SUBHASH BHANOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 STOLLINGS AVE, SUITE 1, LOGAN, WV 25601-4035
(304) 752-2555
(304) 752-2561
Mailing address
140 STOLLINGS AVE, SUITE 1, LOGAN, WV 25601-4035
(304) 752-2555
(304) 752-2561
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12647
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131001000
—
WV
Enumeration date
07/02/2006
Last updated
01/07/2014
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