Individual
RAVIN BHIRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
401 6TH AVE STE 201, MONTGOMERY, WV 25136-2116
(304) 442-2569
(304) 442-2569
Mailing address
PO BOX 539, MONTGOMERY, WV 25136-0539
(304) 442-2567
(304) 442-2567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13752
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084139000
—
WV
Enumeration date
10/12/2006
Last updated
09/14/2007
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