Muddana, Neeharika

Muddana, Neeharika is an individual health care provider with primary practice located at 24 Maccorkle Ave Sw , South Charleston WV 25303-1476. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Muddana, Neeharika can be contacted via phone (304) 720-5000.

Contact Information

Primary practice address
24 Maccorkle Ave Sw South Charleston WV 25303-1476
Phone: (304) 720-5000
Fax: (304) 720-5003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301090208 Michigan

Profile Details

NPI number 1649448911
LBN Legal business name Muddana, Neeharika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2008
Last updated Apr 21st, 2022 - about 2 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 1649448911 NPPES
West Virginia Other 9310001 GROUP PTAN
West Virginia MEDICAID 3810027204 GROUP PTAN

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