Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEODORO G MEDINA, M.D.
ActiveTEODORO G MEDINA, M.D. is a Gastroenterology healthcare provider located in BRIDGEPORT, West Virginia. NPI 1134175094 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1134175094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.209007460882 yrs)
- Last Updated
- Nov 7, 2007
- Licenses
-
12904 (WV)12904 (WV)
Practice Information
- Address
-
2 CHENOWETH DR STE ABRIDGEPORT, WV, 263301688Browse WV providers · Browse ZIP 26330
- Phone
- 3048425449
- Fax
- 3048425440
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Internal Medicine
Other Gastroenterology Providers in BRIDGEPORT, WV
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID A CIAROLLA | MD | 1265545164 |
| MRS. KIMBERLY J FAIRLEY | DO | 1114199411 |
| DR. SIVA PRASAD MARUBOYINA | M.D | 1265816409 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.