Individual
DR. PRAKASH RAGHUNATH PURANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 STANAFORD RD, BECKLEY, WV 25801-3140
(304) 466-2944
(304) 466-2943
Mailing address
1802 HARPER RD, STE 102, BECKLEY, WV 25801-3376
(304) 466-2944
(304) 466-2943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18189
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056944C
HUMANA
WV
01
—
000713093
BLUE CROSS NUMBER
WV
05
—
0098274000
—
WV
01
—
160029519
RAILROAD MEDICARE PIN #
WV
Enumeration date
08/31/2006
Last updated
07/17/2018
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