Individual
KAMAKSHYA P PATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505
(304) 293-6307
Mailing address
PO BOX 9214, MORGANTOWN, WV 26506-9214
(304) 293-6307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25107
WV
2080P0203X
Pediatric Critical Care Medicine Physician
54549
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025075
—
WV
Enumeration date
09/04/2008
Last updated
04/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us