Organization
HCMA CONSULTANTS, INC
Active
Other names
Doctors Immedicare
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH PURANIK M.D. (MEMBER)
(304) 252-9211
Entity
Organization
Contact information
Practice address
1802 HARPER RD STE 102, BECKLEY, WV 25801
(304) 252-9211
(304) 252-9218
Mailing address
1802 HARPER RD STE 102, BECKLEY, WV 25801-3376
(304) 252-9211
(304) 252-9218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707274
BC
WV
05
—
001894000
—
WV
01
—
28130
COLA
WV
01
—
51D0235325
CLIA
WV
01
—
75159
CARELINK
WV
01
—
970026849
RR MCARE
WV
Enumeration date
10/31/2005
Last updated
02/06/2020
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