Pathak, Kishor S
Pathak, Kishor S is an individual health care provider with primary practice located at 200 New Hope Rd Quail Valley Medical Center No 7, Princeton WV 24740-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pathak, Kishor S can be contacted via phone (304) 487-1076.Contact Information
Primary practice address
200 New Hope Rd Quail Valley Medical Center No 7
Princeton WV 24740-2155
Phone: (304) 487-1076
Fax: (304) 425-9499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11061 | West Virginia |
Profile Details
| NPI number | 1922007186 |
|---|---|
| LBN Legal business name | Pathak, Kishor S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1922007186 | NPPES |
| West Virginia | MEDICAID | 0120861000 |
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