Individual
DR. GEETHA SHAKESPRERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 BUTLER AVE, PRIMARY CARE SERVICE, MARTINSBURG, WV 25401-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19181
WV
Other
Enumeration date
01/12/2006
Last updated
07/13/2007
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