Organization
MAHIJA KOTTAPALLI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHIJA KOTTAPALLI MD (OWNER)
(304) 757-4032
Entity
Organization
Contact information
Practice address
1401 HOSPITAL DR, SUITE 201, HURRICANE, WV 25526-9237
(304) 757-4032
(304) 757-3026
Mailing address
1401 HOSPITAL DR, SUITE 201, HURRICANE, WV 25526-9237
(304) 757-4032
(304) 757-3026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21183
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366511271
INDIVIDUAL NPI
—
05
—
3810000361
—
WV
Enumeration date
05/21/2007
Last updated
08/22/2020
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