Patra, Kamakshya P
Patra, Kamakshya P is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26505. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Patra, Kamakshya P can be contacted via phone (304) 293-6307.Contact Information
Primary practice address
1 Medical Center Drive
Morgantown WV 26505
Phone: (304) 293-6307
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25107 | West Virginia |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 54549 | Minnesota |
Profile Details
NPI number | 1558519413 |
---|---|
LBN Legal business name | Patra, Kamakshya P |
Credentials | MBBS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 4th, 2008 |
Last updated | Apr 8th, 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 | 1558519413 | NPPES |
West Virginia | MEDICAID | 3810025075 |
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