Individual
DR. ARAVINDA NANJUNDAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-3000
(304) 388-8238
Mailing address
4675 CORNELL RD STE 150, BLUE ASH, OH 45241-2498
(513) 824-6924
(513) 824-6925
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
200501121
NC
207RI0011X
Interventional Cardiology Physician
Primary
22960
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1397A
BCBS NC
NC
05
—
3810010572
—
WV
Enumeration date
09/06/2005
Last updated
03/22/2021
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