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Individual

MANOJ NEPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Mailing address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101248414
VA
207R00000X
Internal Medicine Physician
23701
WV
208M00000X
Hospitalist Physician
0101248414
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000276714
OH UNISON
OH
05
3810016006
WV
01
4153796
CIGNA
WV
01
613154600
BLACK LUNG/FECA
WV
Enumeration date
06/05/2009
Last updated
07/13/2020
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