Individual
DR. SUBBAREDDY KURAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 PHEASANT DR, FAIRMONT, WV 26554-1246
(304) 623-3461
Mailing address
11 PHEASANT DR, FAIRMONT, WV 26554-1246
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14637
WV
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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