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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

NPI # 1649995382
LBN Legal business name PRASAD POLISETTY MD PLLC
Authorized official SEAN SHERRILL - (BILLING ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2022
Last updated 01/15/2026 - About 5 months ago
Identifiers
WV Medicaid 1376711291
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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