Provider Demographics
NPI:1801970645
Name:ALAPPAT, PAUL A (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:ALAPPAT
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 1:1703 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1320
Mailing Address - Country:US
Mailing Address - Phone:304-363-6210
Mailing Address - Fax:304-363-0952
Practice Address - Street 1:1703 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-1320
Practice Address - Country:US
Practice Address - Phone:304-363-6210
Practice Address - Fax:304-363-0952
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME.151357207RC0000X
WV19907207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV000335148OtherBC/BS
WV6000626000Medicaid
WV6000626000Medicaid
WV6000626000Medicaid