NPI 1942493812 · live from the CMS NPI Registry
Frederick Manalo Alcantara, M.D.
Family Medicine in Fairmont, WV. National Provider Identifier 1942493812, active.
NPI record
| NPI | 1942493812 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2048 Vip Way, Fairmont, WV 26554 |
| Practice phone | 304-366-6200 |
| Mailing address | 252 Hanalei Dr, Morgantown, WV 26508 |
| Enumerated | August 23, 2007 |
| Last updated | April 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | MD432566 (PA) |
| Family Medicine primary | 207Q00000X | 23746 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.