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Individual

BELLA N ZINZUWADIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
703 RITTER DRIVE, BEAVER, WV 25813
(304) 255-1300
(304) 255-5391
Mailing address
PO BOX 550, BEAVER, WV 25813-0550
(304) 255-1300
(304) 255-5391

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19976
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721267
BLUE CROSS
WV
01
1052694
W COMP
WV
01
110209636
RR MCARE
WV
01
210444
CARELINK
WV
01
2114501
MAMSI
WV
01
550774633
TRICARE
WV
01
6703073000
MEDICARE LAB
WV
01
7410128
AETNA
WV
Enumeration date
10/25/2005
Last updated
10/25/2017
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