Individual
PREETHI V MURTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 MARKET ST STE 902, STEUBENVILLE, OH 43952-2867
(740) 282-1624
(740) 283-1131
Mailing address
1597 WASHINGTON PIKE STE A22, BRIDGEVILLE, PA 15017-2878
(412) 489-6919
(412) 489-6279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD427415
PA
207RN0300X
Nephrology Physician
23523
WV
207RN0300X
Nephrology Physician
Primary
35 083804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101463707
—
PA
05
—
2870979
—
OH
05
—
3000347000
—
WV
01
—
884567
MEDICARE
PA
01
—
P01027051
RR MEDICARE
OH
01
—
P01033240
RR MEDICARE
PA
Enumeration date
05/11/2006
Last updated
05/07/2020
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