Individual
DR. CHARISHMA POTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 534-7810
Mailing address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 534-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT021926
PA
208M00000X
Hospitalist Physician
Primary
4635
WV
Other
Enumeration date
06/17/2022
Last updated
07/14/2025
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