Healthcare Provider Details

I. General information

NPI: 1497459911
Provider Name (Legal Business Name): ALISHA SHRESTHA MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 CHERRY ST STE 206
BLUEFIELD WV
24701-3300
US

IV. Provider business mailing address

510 CHERRY ST STE 206
BLUEFIELD WV
24701-3300
US

V. Phone/Fax

Practice location:
  • Phone: 304-324-2661
  • Fax: 304-323-6016
Mailing address:
  • Phone: 304-324-2661
  • Fax: 304-323-6016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number37090
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: