Individual
VETTIVELU MAHESWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 N MILDRED ST, RANSON, WV 25438-5552
(304) 724-6091
Mailing address
1212 N MILDRED ST, RANSON, WV 25438-5552
(304) 724-6091
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01028
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
10753
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01028
WEST VIRGINIA BOARD OF MEDICAL EXAMINERS VOLUNTEER PROVIDER NUMBER
WV
01
—
10753
THE MEDICAL LICENSING BOARD OF WEST VIRGINIA
WV
Enumeration date
02/18/2014
Last updated
03/25/2014
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