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Contact Information

PRASAD POLISETTY MD PLLC
120 12TH ST
PRINCETON, WV24740
 Phone: 304-487-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Adolescent Medicine

207RA0000X 11 Physician/Internal Medicine
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for PRASAD POLISETTY MD PLLC · (Female)

NPI Number 1649995382
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2022
Last updated 01/15/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 1376711291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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