Neha Agrawal, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Charleston, WV
NPI 1134864341 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1134864341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3200 Maccorkle Ave SE
Charleston, WV 25304-1227 - Phone
- (304) 388-5590
- Fax
- (304) 388-8238
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220706001838 | WV | Order and Referring Only - Internal Medicine |
1759761968 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Mailing address
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5590
Other providers in Charleston, WV
- Muhammad Afzal
- Jacky Agalla
- Bharat Das Agarwal
- Brandon Agnew
- Destinee Agnew
- Barbara Josephine Aguilar
- Maram Mahmoud Ahmed
- Muhammad Ahmed
- Rohma Ahmed
- Waleed Ahmed
All providers in Charleston, WV · Student in an Organized Health Care Education/Training Program in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.