Provider Demographics
NPI:1962844852
Name:CHOURASIA, PRABAL KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:PRABAL
Middle Name:KUMAR
Last Name:CHOURASIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:5 E ALVON ROAD SUITE 7
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:24986-2373
Mailing Address - Country:US
Mailing Address - Phone:304-536-5030
Mailing Address - Fax:304-536-5031
Practice Address - Street 1:2900 1ST AVE
Practice Address - Street 2:ROOM 1025
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1241
Practice Address - Country:US
Practice Address - Phone:304-399-7484
Practice Address - Fax:304-399-7579
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2015-08-14
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Provider Licenses
StateLicense IDTaxonomies
WV26436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine