| Mahija Kottapalli Md Pllc | |
|
1401 Hospital Dr Suite 201 Hurricane WV 25526-9237 | |
| (304) 757-4032 | |
| (304) 757-3026 |
| Full Name | Mahija Kottapalli Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1401 Hospital Dr, Hurricane, West Virginia |
| Authorized Official Name and Position | Mahija Kottapalli (OWNER) |
| Authorized Official Contact | 3047574032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahija Kottapalli Md Pllc 1401 Hospital Dr Suite 201 Hurricane WV 25526-9237 Ph: (304) 757-4032 | Mahija Kottapalli Md Pllc 1401 Hospital Dr Suite 201 Hurricane WV 25526-9237 Ph: (304) 757-4032 |
| NPI Number | 1457560963 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457560963 | NPI | - | NPPES |
| 1366511271 | Other | INDIVIDUAL NPI | |
| 3810000361 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21183 (West Virginia) | Primary |
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