Organization
SURATKAL V SHENOY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURATKAL V SHENOY MD (GENERAL SURGEON)
(304) 788-6566
Entity
Organization
Contact information
Practice address
RT 220 SOUTH AND STAGGS LANE, KEYSER, WV 26726
(304) 788-6566
(301) 786-7050
Mailing address
PO BOX 929, KEYSER, WV 26726-0929
(304) 788-6566
(301) 786-7050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12745
WV
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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