Individual
DR. NEEHARIKA MUDDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
418 GRAND PARK DR STE 311, PARKERSBURG, WV 26105-4000
(304) 865-5105
(304) 865-5570
Mailing address
418 GRAND PARK DR, PARKERSBURG, WV 26105-4000
(304) 865-5105
(304) 865-5570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090208
MI
207RN0300X
Nephrology Physician
Primary
25695
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027204
—
WV
01
—
9310001
GROUP PTAN
WV
Enumeration date
02/20/2008
Last updated
01/28/2025
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