Individual
DR. MAHIJA KOTTAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 HOSPITAL DR, SUITE # 201, HURRICANE, WV 25526-9237
(304) 757-4032
(304) 757-3026
Mailing address
129 LESLIE PL, SCOTT DEPOT, WV 25560-8901
(304) 757-0639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21183
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000361
—
WV
Enumeration date
11/06/2006
Last updated
07/09/2007
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