Santra, Nityananda

Santra, Nityananda is an individual health care provider with primary practice located at 911 Gorman Avenue Suite 203, Elkins WV 26241-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Santra, Nityananda can be contacted via phone (304) 636-5229.

Contact Information

Primary practice address
911 Gorman Avenue Suite 203 Elkins WV 26241-3154
Phone: (304) 636-5229
Fax: (304) 636-1015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 09853 West Virginia

Profile Details

NPI number 1255425278
LBN Legal business name Santra, Nityananda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 16th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255425278 NPPES
West Virginia Other WV09853 HEALTH PLAN PROVIDER #
West Virginia MEDICAID 0127743000 HEALTH PLAN PROVIDER #

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