| Dr Prasad Venkata Devabhaktuni, MD | |
|
14 E Grafton Rd, Suite C, Fairmont, WV 26554-4465 | |
| (304) 363-7773 | |
| (304) 363-7773 |
| Full Name | Dr Prasad Venkata Devabhaktuni |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 14 E Grafton Rd, Fairmont, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417027103 | NPI | - | NPPES |
| 0009095000 | Medicaid | WV | |
| 0071632000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 15587 (West Virginia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 15587 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prasad Venkata Devabhaktuni, MD 14 E Grafton Rd, Suite C, Fairmont, WV 26554-4465 Ph: (304) 363-7773 | Dr Prasad Venkata Devabhaktuni, MD 14 E Grafton Rd, Suite C, Fairmont, WV 26554-4465 Ph: (304) 363-7773 |
Dr. Mohammad Roidad, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1614 Locust Ave, Fairmont, WV 26554 Phone: 304-363-6659 Fax: 304-366-3464 | |
Eugenio Aldea Menez, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1714 Locust Ave, Fairmont, WV 26554 Phone: 304-363-3714 Fax: 304-363-6850 | |
Dr. Peter Lee Ang, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1377 Locust Ave, Fairmont, WV 26554 Phone: 304-366-3500 Fax: 304-366-7613 | |
Bonnie Diep, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1377 Locust Ave, Fairmont, WV 26554 Phone: 304-363-3500 | |
Spencer Ollayos, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 045-347-8103 | |
Dr. Ryan Christopher Hall, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Samer Kuzbari, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 70 Middletown Rd Ste 1000, Fairmont, WV 26554 Phone: 304-333-5111 Fax: 304-333-5114 |