Individual
DR. CUDDALORE P VASUDEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
508 NEW HOPE RD STE 7, PRINCETON, WV 24740
(304) 425-0403
Mailing address
118 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 431-5168
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13193
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084303000
—
WV
Enumeration date
08/20/2006
Last updated
09/24/2018
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