MEDICARE: SUBIGYA THAPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	36241	WV

General Provider Information

NPI Number	:	1174200034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUBIGYA THAPA

Provider Business Mailing Address
First Line	:	1448 10TH AVE STE 304
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-3579
Country	:	US
Telephone Number	:	304-691-1086
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 1ST AVE RM 1025
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-1241
Country	:	US
Telephone Number	:	304-399-7484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	06/26/2026

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Directions to “ SUBIGYA THAPA ” Practice Location

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