Individual
SITHARAMA SWAMY KATRAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 PHEASANT DRIVE, FAIRMONT, WV 26554
(304) 363-1830
(304) 363-0404
Mailing address
13 PHEASANT DR, FAIRMONT, WV 26554-1246
(304) 363-0872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13325
WV
207L00000X
Anesthesiology Physician
Primary
MD430917
PA
Other
Enumeration date
05/05/2006
Last updated
10/04/2021
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