Gucharan S Kanwal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

010102217 Issued in VA

Practice address

116 Centre Ave NE
Coeburn, VA 24230-4033

Phone

(276) 395-6244

Fax

(276) 395-3058

NPI assigned

Jun 23, 2006

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellmont Physician Services Inc

  • Internal Medicine Physician
  • Big Stone Gap, VA
  • NPI 1619095403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1386670461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "address_2": "116 CENTER ST",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242730905",
            "telephone_number": "276-395-6244",
            "fax_number": "276-395-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CENTRE AVE NE",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242304033",
            "telephone_number": "276-395-6244",
            "fax_number": "276-395-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANWAL",
        "first_name": "GUCHARAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "010102217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Lynn Hale, RBT
• Hettie's Haven,LLC
• James Hill
• Independent Home Health Care Inc (Independent Home Health Care)
• Nicholas Dwayne Jackson, PHARMD
• KDK Transport Company
• Joshua Key
• Kimberly Dara Kiser
• Mark Raymond DMD PLLC
• Whitney Brooke Mays, NP

• Internal Medicine Physician in Coeburn, VA
• Providers in Coeburn, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.