Individual
DR. VIDYA PURANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MBBS FRCSC
Contact information
Practice address
250 STANFORD ROAD, SUITE ONE, BECKLEY, WV 25801-3140
(304) 250-0345
(304) 256-0185
Mailing address
250 STANFORD ROAD, SUITE ONE, BECKLEY, WV 25801-3140
(304) 250-0345
(304) 256-0185
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
18190
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093170001
—
WV
Enumeration date
10/27/2006
Last updated
07/08/2007
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