Healthcare Provider Details

I. General information

NPI: 1932190865
Provider Name (Legal Business Name): HCMA CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 HARPER RD STE 102
BECKLEY WV
25801
US

IV. Provider business mailing address

1802 HARPER RD STE 102
BECKLEY WV
25801-3376
US

V. Phone/Fax

Practice location:
  • Phone: 304-252-9211
  • Fax: 304-252-9218
Mailing address:
  • Phone: 304-252-9211
  • Fax: 304-252-9218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PRAKASH PURANIK
Title or Position: MEMBER
Credential: M.D.
Phone: 304-252-9211