Individual
SUDHA RANI KATRAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 367-8766
Mailing address
PO BOX 1112, FAIRMONT, WV 26555-1112
(304) 366-0700
(304) 367-8766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14057
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020351
TRAVELERS
WV
05
—
00844610000
—
WV
01
—
14257
HEALTH NET
WV
Enumeration date
09/29/2006
Last updated
04/05/2018
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