Individual
DR. NIKA RAZAVIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
Mailing address
99 CRACKER BARREL DR STE 100, BARBOURSVILLE, WV 25504-1650
(304) 525-7851
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21645
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012081
—
WV
05
—
3810012278
—
WV
Enumeration date
08/18/2006
Last updated
08/30/2024
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