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

DR. ALEXANDER VLADIMIROVICH OTELLIN, MD

Active Sole Proprietor

DR. ALEXANDER VLADIMIROVICH OTELLIN, MD is a Psychiatry healthcare provider located in SOUTH CHARLESTON, West Virginia. NPI 1740302066 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1740302066
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2007 (19.387870259673 yrs)
Last Updated
Sep 17, 2013
License
22592 (WV)
Sole Proprietor
Yes

Practice Information

Address
401 DIVISION ST STE 307
SOUTH CHARLESTON, WV, 253091455
Browse WV providers · Browse ZIP 25309
Phone
3049324259
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in SOUTH CHARLESTON, WV

Name Credential NPI
DR. TARA FAWN RAY DO 1033152418
JOHN PATRICK HUTTON M.D. 1265458590
HUSSEIN E EL-KHATIB MD 1932210762
RUSSELL IRVIN VOLTIN M.D. 1275659096
DANIEL BRUCE THISTLETHWAITE MD 1518083328
AMY NICKOLE WEHRLE DO 1679767982
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.