Individual
KEWAL RAJ KHATIWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 1ST AVE RM 1025, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
2900 1ST AVE, HUNINGTON, WV 25702
(304) 526-1234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32732
WV
Other
Enumeration date
04/29/2020
Last updated
09/26/2023
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