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Individual

NARENDRAKUMAR M PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10633
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000148272
BLUE CROSS
WV
05
0079530000
WV
01
6703073000
MEDICAID LAB
WV
01
P00222845
RR MEDICARE
WV
Enumeration date
10/25/2005
Last updated
06/30/2014
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