Chaudhuri, Kallol
Chaudhuri, Kallol is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chaudhuri, Kallol can be contacted via phone (304) 598-4000.Contact Information
Primary practice address
1 Medical Center Dr
Morgantown WV 26506-1200
Phone: (304) 598-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 27557 | West Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J5281 | Texas |
Profile Details
| NPI number | 1689637050 |
|---|---|
| LBN Legal business name | Chaudhuri, Kallol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689637050 | NPPES |
| Texas | MEDICAID | 119239501 | |
| Texas | MEDICAID | 119239504 |
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