Individual
ARCHANA VASUDEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 MON HEALTH MEDICAL PARK DR STE 3201, MORGANTOWN, WV 26505
(304) 285-1460
(304) 285-2739
Mailing address
3000 MON HEALTH MEDICAL PARK DR STE 3201, MORGANTOWN, WV 26505-1170
(304) 285-1460
(304) 285-2739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014016546
MO
207RI0200X
Infectious Disease Physician
2014016546
MO
207RI0200X
Infectious Disease Physician
Primary
28780
WV
Other
Enumeration date
06/30/2014
Last updated
10/24/2019
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