Most Relevant Information
Provider Data
| NPI Number: | 1003427105 |
| Provider Name: | SHAIL K RATHORE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2020 |
| Last Updated: | 07/26/2021 |
Provider Practice Location
814 EAGLE RUN
MORGANTOWN
WV
265080982
Practice Location Phone/Fax
| Phone: | 3042913345 |
| Fax: |
Provider Mailing Location
814 EAGLE RUN
MORGANTOWN
WV
265080982
Provider Mailing Phone/Fax
| Phone: | 3042913345 |
| Fax: |