Individual
SUBECHHA GYAWALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 MACCORKLE AVE SE, ROBERT C. BYRD CLINICAL TRAINING CENTER, 4TH FLOOR, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Mailing address
3200 MACCORKLE AVE SE, ROBERT C. BYRD CLINICAL TRAINING CENTER, 4TH FLOOR, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81740
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
06/29/2016
Last updated
09/23/2019
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