Organization
SATHISH & RADHA INTERNAL MEDICINE GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADHAKRISHNA KUKKILLAYA MD (OWNER)
(304) 831-1299
Entity
Organization
Contact information
Practice address
38 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1299
Mailing address
PO BOX 58187, CHARLESTON, WV 25358-0187
(304) 831-1299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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