Individual
VISHAL VISHNU THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 MEDICAL CENTER DR, MORGANTOWN, WV 26505-4024
(304) 293-5042
(304) 293-4819
Mailing address
P O BOX 9183, 64 MEDICAL CENTRE DRIVE, MORGANTOWN, WV 26505
(304) 293-5042
(304) 293-4819
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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