Provider Demographics
NPI:1235229246
Name:KOCHHAR, BRIJINDER S (MD)
Entity Type:Individual
Prefix:
First Name:BRIJINDER
Middle Name:S
Last Name:KOCHHAR
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 1:2950 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3765
Mailing Address - Country:US
Mailing Address - Phone:304-723-2527
Mailing Address - Fax:304-723-2543
Practice Address - Street 1:2950 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3765
Practice Address - Country:US
Practice Address - Phone:304-723-2527
Practice Address - Fax:304-723-2543
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046027207RP1001X
WV12842207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0083523000Medicaid
WV341348979001OtherMOUNTAIN STATE BLUESHIELD
OH0465054Medicaid
WV341348979-00OtherWV COMPENSATION
C03610OtherHEALTH ASSURANCE
OH000000130798OtherANTHEM
WVKO0500311Medicare PIN
OH0465054Medicaid
OHKO0500313Medicare PIN