| Dr Siva Prasad Maruboyina, MD | |
|
527 Medical Park Dr Ste 402w, Bridgeport, WV 26330-9010 | |
| (681) 342-3690 | |
| (681) 342-3695 |
| Full Name | Dr Siva Prasad Maruboyina |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 527 Medical Park Dr Ste 402w, Bridgeport, 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 |
|---|---|---|---|
| 1265816409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA10445200 (New Jersey) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 31030 (West Virginia) | Primary |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Siva Prasad Maruboyina, MD 527 Medical Park Dr Ste 402w, Bridgeport, WV 26330-9010 Ph: (681) 342-3690 | Dr Siva Prasad Maruboyina, MD 527 Medical Park Dr Ste 402w, Bridgeport, WV 26330-9010 Ph: (681) 342-3690 |
Dr. Michael T. Angotti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr, Suite 307, Bridgeport, WV 26330 Phone: 304-933-3332 Fax: 304-933-3318 | |
Brandon Shiflett, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Nabeel Ghabra, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 Fax: 681-342-3695 | |
Salma Khatoon, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1852 | |
Dr. Susan W. Miller, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 140 W Main St, Bridgeport, WV 26330 Phone: 304-842-2206 Fax: 304-842-2580 | |
Mrs. Kimberly J Fairley, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 | |
Mazen Nashed, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 Phone: 304-933-3800 Fax: 304-933-3815 |