Individual
DR. PRASAD VENKATA DEVABHAKTUNI
Active
Individual
DR. PRASAD VENKATA DEVABHAKTUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
15587
WV
207RP1001X
Pulmonary Disease Physician
Primary
15587
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009095000
—
WV
05
—
0071632000
—
WV
Enumeration date
11/09/2006
Last updated
09/25/2012
Update your record
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