Kiran Shashi Devaraj MD

NPI 1003878984 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003878984
Gender Male
Enumeration Date 04/05/2006
Last Updated 03/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3729 TEAYS VALLEY RD
SUITE 100
HURRICANE WV, 25526-9705, US
Phone (304) 760-6040
Fax (304) 697-2086
Business Location
PO BOX 1680
HUNTINGTON WV, 25717-1680, US
Phone (304) 525-3334
Fax (304) 697-2086
Toxanomy
Taxonomy Code 2084P0800X
License State West Virginia
License Number 20600
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According to our database, Dr. Kiran Shashi Devaraj MD NPI is 1003878984, taxonomy code is 2084P0800X and license number is 20600, license state is located at West Virginia. Kiran Shashi Devaraj MD physically located at 3729 Teays Valley Rd, Hurricane WV, 25526-9705. NPI Number Kiran Shashi Devaraj MD has the Individual type.

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1003878984 NPI number is provided on an as is basis without warranty of any kind. 1003878984 is maintained by the National Plan & Provider Enumeration System. The contents of Kiran Shashi Devaraj MD are for informational purposes only.