Prasad Venkata Devabhaktuni in Fairmont - Critical Care Medicine
Prasad Venkata Devabhaktuni - NPI 1417027103
Prasad Venkata Devabhaktuni is a Critical Care Medicine in Fairmont, . Prasad Venkata Devabhaktuni practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Prasad Venkata Devabhaktuni is 1417027103. The last update date is 2012-09-25.
Prasad Venkata Devabhaktuni's current location address is 14 E Grafton Rd, Fairmont, . You can contact this provider via phone number 3043637773 and fax number 3043637773. The mailing address for Prasad Venkata Devabhaktuni is 14 E Grafton Rd, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Prasad Venkata Devabhaktuni |
|---|---|
| Address | 14 E Grafton Rd, Fairmont, |
| Phone Number | 3043637773 |
| Fax Number | 3043637773 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417027103 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2012-09-25 |
Provider Mailing Address Detail
| Address | 14 E Grafton Rd |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 265544465 |
| Phone Number | 3043637773 |
| Fax Number | 3043637773 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 15587 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9095000 | WV | -- | |
| 71632000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Prasad Venkata Devabhaktuni by the Centers for Medicare & Medicaid Services?
The Prasad Venkata Devabhaktuni has been issued the NPI (National Provider Identifier) 1417027103 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Prasad Venkata Devabhaktuni is located?
The Prasad Venkata Devabhaktuni is situated at the following address: 14 E Grafton Rd, Fairmont, WV, 265544465.
What is Prasad Venkata Devabhaktuni's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Prasad Venkata Devabhaktuni is Critical Care Medicine, and the taxonomy code that classifies this field of practice is 207Rc0200X.
On what date did the Prasad Venkata Devabhaktuni receive its 1417027103 assignment from the Centers for Medicare & Medicaid Services?
The Prasad Venkata Devabhaktuni was assigned its 1417027103 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the details pertaining to Prasad Venkata Devabhaktuni last refreshed?
The information related to the Prasad Venkata Devabhaktuni, including its address, specialty, and other relevant details, was last updated on 2012-09-25.