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Individual

ASHOK K PATNAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
61 E 3RD AVE, WILLIAMSON, WV 25661-3530
(304) 235-8999
(304) 235-4631
Mailing address
PO BOX 1958, WILLIAMSON, WV 25661-1958
(304) 235-8999
(304) 235-4631

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20694
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841047000
WV
05
64055296
KY
Enumeration date
05/19/2006
Last updated
07/08/2007
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