Individual
KRISHNA R URVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MEDICAL PARK STE 505, WHEELING, WV 26003-6392
(304) 234-8912
(304) 234-8218
Mailing address
2101 JACOB ST, STE 601, WHEELING, WV 26003
(304) 234-8912
(304) 234-8218
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
WV16677
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107085000
—
WV
Enumeration date
08/30/2006
Last updated
03/04/2020
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