DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PRASAD VENKATA DEVABHAKTUNI, M.D.

Active Sole Proprietor

DR. PRASAD VENKATA DEVABHAKTUNI, M.D. is a Pulmonary Disease healthcare provider located in FAIRMONT, West Virginia. NPI 1417027103 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · FAIRMONT, WV

Registration Details

NPI Number
1417027103
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2006 (19.739235196613 yrs)
Last Updated
Sep 25, 2012
Licenses
15587 (WV)
15587 (WV)
Sole Proprietor
Yes

Practice Information

Address
14 E GRAFTON RD
SUITE C
FAIRMONT, WV, 265544465
Browse WV providers · Browse ZIP 26554
Phone
3043637773
Fax
3043637773
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in FAIRMONT, WV

Name Credential NPI
DR. JAMIL AHMED MD 1801830385
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.