Provider Demographics
NPI:1558641712
Name:BRIJINDER S. KOCHHAR, MD, PLLC
Entity Type:Organization
Organization Name:BRIJINDER S. KOCHHAR, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIJINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:KOCHHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-723-2527
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV12842207RP1001X
OH35046027207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C03610Medicare UPIN