National Provider Identifier Database

PRASAD V DEVABHAKTUNI, MD – NPI #1417027103
Pulmonary Disease

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.


Contact Information

PRASAD V DEVABHAKTUNI, MD
14 E GRAFTON RD
SUITE C
FAIRMONT, WV26554-4465
Phone: 304-363-7773
Fax: 304-363-7773
Website:
Specialty Taxonomy Code
* Pulmonary Disease 207RP1001X
Critical Care Medicine 207RC0200X

* Indicates primary specialty

NPI Profile & details for PRASAD V DEVABHAKTUNI

NPI Number 1417027103
Credentials MD
Entity Individual
Enumeration date 11/09/2006
Last updated 09/25/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • WV License #: 15587
  • WV Medicaid: 0009095000
  • WV Medicaid: 0071632000
Hospital affiliation n/a

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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