Katragadda, Sudha Rani

Katragadda, Sudha Rani is an individual health care provider with primary practice located at 1322 Locust Ave , Fairmont WV 26554-1436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Katragadda, Sudha Rani can be contacted via phone (304) 366-0700.

Contact Information

Primary practice address
1322 Locust Ave Fairmont WV 26554-1436
Phone: (304) 366-0700
Fax: (304) 367-8766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14057 West Virginia

Profile Details

NPI number 1295827855
LBN Legal business name Katragadda, Sudha Rani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295827855 NPPES
West Virginia Other 000020351 TRAVELERS
West Virginia Other 14257 TRAVELERS
West Virginia MEDICAID 00844610000 TRAVELERS

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