Individual
SRINIVASA CHAKRAVARTI POTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35171
WV
207RP1001X
Pulmonary Disease Physician
Primary
35171
WV
Other
Enumeration date
03/26/2019
Last updated
07/29/2025
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