Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIVA PRASAD MARUBOYINA, M.D
Active Sole ProprietorDR. SIVA PRASAD MARUBOYINA, M.D is a Gastroenterology healthcare provider located in BRIDGEPORT, West Virginia. NPI 1265816409 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1265816409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2015 (11.063745086555 yrs)
- Last Updated
- Aug 9, 2023
- Licenses
-
25MA10445200 (NJ)31030 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
527 MEDICAL PARK DR STE 402WBRIDGEPORT, WV, 263309010Browse WV providers · Browse ZIP 26330
- Phone
- 6813423690
- Fax
- 6813423695
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in BRIDGEPORT, WV
| Name | Credential | NPI |
|---|---|---|
| TEODORO G MEDINA | M.D. | 1134175094 |
| DR. DAVID A CIAROLLA | MD | 1265545164 |
| MRS. KIMBERLY J FAIRLEY | DO | 1114199411 |
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.