Individual
DR. BHAILAL GOKALBHAI GONDALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 18TH ST STE 111, PARKERSBURG, WV 26101-3236
(304) 424-4618
(304) 424-4846
Mailing address
600 18TH ST, SUITE 111, PARKERSBURG, WV 26101-3231
(304) 424-4618
(304) 424-4846
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16592
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073853000
—
WV
01
—
0693121
MEDICARE ID
WV
01
—
0693122
MEDICARE ID
WV
05
—
0827770
—
OH
01
—
161461800
WV WORKERS COMP
WV
01
—
550708689-00
OH WORKERS COMP
OH
Enumeration date
06/04/2006
Last updated
03/17/2022
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