Individual
DR. ASHISH KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 720-7305
(304) 720-7310
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2390
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25592
WV
207RP1001X
Pulmonary Disease Physician
Primary
WV 25592
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3041431
HIGHMARK BCBS
WV
05
—
3810027264
—
WV
Enumeration date
12/03/2008
Last updated
06/08/2020
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