Individual
RADHA V KUDVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
184 E 2ND AVE, STE 210, WILLIAMSON, WV 25661-3602
(304) 236-5902
(304) 235-4049
Mailing address
PO BOX 2080, WILLIAMSON, WV 25661-2080
(304) 236-5902
(304) 235-4049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13149
WV
208000000X
Pediatrics Physician
21512
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112251000
—
WV
01
—
370013337
RR MEDICARE
—
05
—
64215122
—
KY
Enumeration date
09/21/2006
Last updated
11/04/2014
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