Individual
RAJENDRA P VALIVETI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 HOSPITAL DRIVE, LOGAN, WV 25601
(304) 831-1200
(304) 831-1633
Mailing address
20 HOSPITAL DRIVE, LOGAN, WV 25601
(304) 831-1200
(304) 831-1633
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13470
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124007000
—
WV
Enumeration date
04/21/2006
Last updated
07/08/2007
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