Provider Demographics
NPI:1467554162
Name:BHANOT, VEENA K (MD)
Entity Type:Individual
Prefix:DR
First Name:VEENA
Middle Name:K
Last Name:BHANOT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3200 MACCORKLE AVE SE
Mailing Address - Street 2:5TH FLOOR BEHAVIORAL MEDICINE
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1227
Mailing Address - Country:US
Mailing Address - Phone:304-347-1300
Mailing Address - Fax:304-347-1397
Practice Address - Street 1:3200 MACCORKLE AVE SE
Practice Address - Street 2:5TH FLOOR BEHAVIORAL MEDICINE
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1227
Practice Address - Country:US
Practice Address - Phone:304-347-1300
Practice Address - Fax:304-347-1397
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2022-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV126982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0116831000Medicaid
WVBH0525683Medicare ID - Type Unspecified
WV0116831000Medicaid