person
Kevin M Tharakan, MD
Student in an Organized Health Care Education/Training Program in Bridgeport, West Virginia
NPI 1386222636

Kevin M Tharakan is a Student in an Organized Health Care Education/Training Program based in Clarksburg, WV. Kevin M Tharakan practices in Bridgeport, WV and has the professional credentials of MD. The NPI Number for Kevin M Tharakan is 1386222636 and holds a License No. (West Virginia).

The current practice location address for Kevin M Tharakan is 527 Medical Park Dr Ste 500, Bridgeport, WV and can be reached out via phone at 681-342-3600.

Location: 527 Medical Park Dr Ste 500, Bridgeport, WV, 26301-7640
person
Provider Profile Details
NPI Number
1386222636
Provider Name
Kevin M Tharakan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr Ste 500, Bridgeport, WV, 26301-7640
Phone Number
681-342-3600
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr Ste 500
City
State
Zip
26330-9010
Phone Number
681-342-3600
Fax Number
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr Ste 500
City
State
Zip
26330-9010
Phone Number
681-342-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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