Individual
VIKHYATH TERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2390
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2390
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29628
WV
207RP1001X
Pulmonary Disease Physician
Primary
29628
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/17/2014
Last updated
06/18/2020
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