Provider Demographics
NPI:1033370051
Name:GALAPON, PHILIP A (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:A
Last Name:GALAPON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 HUFFCREEK HWY
Mailing Address - Street 2:
Mailing Address - City:MAN
Mailing Address - State:WV
Mailing Address - Zip Code:25635-1042
Mailing Address - Country:US
Mailing Address - Phone:304-583-1134
Mailing Address - Fax:304-583-1136
Practice Address - Street 1:308 HUFFCREEK HWY
Practice Address - Street 2:
Practice Address - City:MAN
Practice Address - State:WV
Practice Address - Zip Code:25635-1042
Practice Address - Country:US
Practice Address - Phone:304-583-1134
Practice Address - Fax:304-583-1136
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV24297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV2600FMedicare PIN
WVWV2600IMedicare PIN
WVWV2600B662Medicare PIN
WVWV2600EMedicare PIN
WVWV2600B663Medicare PIN
WVWV2600CMedicare PIN
WVWV2600JMedicare PIN
WVWV2600HMedicare PIN
WVWV2600DMedicare PIN
WVWV2600GMedicare PIN