Organization
MARION ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SITHA RAMA SWAMY KATRAGADDA MD (PRESIDENT)
(304) 367-7371
Entity
Organization
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554
(304) 367-7371
(304) 367-7514
Mailing address
PO BOX 6177, WHEELING, WV 26003
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007176000
—
WV
Enumeration date
05/10/2006
Last updated
08/22/2020
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