Provider Demographics
NPI:1649255423
Name:PARIHAR, HARDEV SINGH (MD)
Entity type:Individual
Prefix:MR
First Name:HARDEV
Middle Name:SINGH
Last Name:PARIHAR
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:PO BOX 2238
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-1438
Mailing Address - Country:US
Mailing Address - Phone:304-723-2152
Mailing Address - Fax:304-723-2160
Practice Address - Street 1:485 COLLIERS WAY
Practice Address - Street 2:STE N
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5012
Practice Address - Country:US
Practice Address - Phone:304-723-2152
Practice Address - Fax:304-723-2160
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13890208800000X
OH35045039208800000X
PAMD033304E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07799872Medicaid
WV0131043000Medicaid
OH0576489Medicaid
9287921Medicare PIN
OH9287924Medicare PIN
WV0131043000Medicaid
PA07799872Medicaid