Individual
PRANAWA KOIRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 581-0343
Mailing address
2331 CAROLINA AVE SW, ROANOKE, VA 24014-1705
(540) 855-1007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0086556
MD
390200000X
Student in an Organized Health Care Education/Training Program
0116029831
VA
Other
Enumeration date
07/06/2016
Last updated
04/27/2019
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