MALHAR RAJESH DOMADIA M.D.
NPI 1053101758
Student in an Organized Health Care Education/Training Program in Charleston, WV

Q: What is Malhar Domadia's NPI number?

The NPI number for Malhar Domadia is 1053101758. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Q: What is Malhar Domadia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Malhar Domadia was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2025PECOS Enrolled

3200 MACCORKLE AVE, SE, CHARLESTON, WV 25304(304) 388-5590(304) 388-8238 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, May 7, 2025 (2 updates tracked since 2025).

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About Malhar Rajesh Domadia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALHAR RAJESH DOMADIA M.D. (NPI 1053101758) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053101758

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMALHAR RAJESH DOMADIACredential: M.D.

Location Address3200 MACCORKLE AVE, SECharleston, WV 25304

Mailing Address3200 Maccorkle Ave, SeCharleston, WV 25304 · (304) 388-5590 · Fax (304) 388-8238

Phone(304) 388-5590

Fax(304) 388-8238

Sole ProprietorNo

Enumeration DateMay 7, 2025

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1053101758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3200 MACCORKLE AVE, SE, Charleston, WV 25304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malhar Rajesh Domadia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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