Individual
DR. LINGADAHALLI HIRIYANNAPPA SUBBARAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 256-5419
Mailing address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 256-5419
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10055
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082423000
—
WV
Enumeration date
04/06/2006
Last updated
01/25/2013
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