Provider Demographics
NPI:1003308842
Name:BAROLA SINDHU, UNKNOWN (MBBS)
Entity Type:Individual
Prefix:
First Name:UNKNOWN
Middle Name:
Last Name:BAROLA SINDHU
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:SINDHU
Other - Middle Name:
Other - Last Name:BAROLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:CAMDEN CLARK MEDICAL CENTER
Mailing Address - Street 2:800 GARFIELD AVE
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5378
Mailing Address - Country:US
Mailing Address - Phone:304-424-2111
Mailing Address - Fax:516-572-5483
Practice Address - Street 1:CAMDEN CLARK MEDICAL CENTER
Practice Address - Street 2:800 GARFIELD AVE
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5378
Practice Address - Country:US
Practice Address - Phone:304-424-2111
Practice Address - Fax:516-572-5483
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2021-08-11
Deactivation Date:2019-01-25
Deactivation Code:
Reactivation Date:2019-02-15
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV30251208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program