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Individual

DR. VINAYAK K SOVANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309
(304) 766-3600
Mailing address
PO BOX 21569, ROANOKE, VA 24018-0568

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21096
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35091451
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1809181000
WV
05
2386789
OH
Enumeration date
09/25/2006
Last updated
09/05/2019
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