Individual
PRATIMA RAMKISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3411 NOYES AVE, CHARLESTON, WV 25304-1351
(304) 356-3456
Mailing address
3411 NOYES AVE, CHARLESTON, WV 25304-1351
(304) 356-3456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4264
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2026
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