Pesala, Siva Prasad Reddy
Pesala, Siva Prasad Reddy is an sole proprietor health care provider with primary practice located at 3803 Emerson Ave , Parkersburg WV 26104-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pesala, Siva Prasad Reddy can be contacted via phone (304) 485-5041.Contact Information
Primary practice address
3803 Emerson Ave
Parkersburg WV 26104-1116
Phone: (304) 485-5041
Fax: (304) 485-5678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 32764 | West Virginia |
Profile Details
| NPI number | 1891100368 |
|---|---|
| LBN Legal business name | Pesala, Siva Prasad Reddy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2014 |
| Last updated | Sep 17th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891100368 | NPPES |
| Missouri | Other | 2014019434 | MISSOURI TEMPORARY LICENSE |
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