Dr. Siva Prasad Maruboyina, MD
Internal Medicine, Gastroenterology in Bridgeport, West Virginia
1265816409- Practice location
- 527 Medical Park Dr Ste 402W, Bridgeport, WV 26330-9010
- Phone
- 681-342-3690
- Fax
- 681-342-3695
- Last updated
- August 9, 2023
Siva Prasad Maruboyina is an Internal Medicine, Gastroenterology based in Bridgeport, WV. Siva Prasad Maruboyina practices in Bridgeport, WV and has the professional credentials of MD. The NPI Number for Siva Prasad Maruboyina is 1265816409 and holds a License No. 25MA10445200 (NJ). The current practice location address for Siva Prasad Maruboyina is 527 Medical Park Dr Ste 402W, Bridgeport, WV 26330-9010 and can be reached out via phone at 681-342-3690 and via fax at 681-342-3695.
Provider Profile Details
- NPI Number
- 1265816409
- Provider Name
- Siva Prasad Maruboyina
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 527 Medical Park Dr Ste 402W, Bridgeport, WV 26330-9010
- Phone Number
- 681-342-3690
- Fax Number
- 681-342-3695
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 17, 2015
- Last Update Date
- August 9, 2023
- Certification Date
- August 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 527 Medical Park Dr Ste 402W
Bridgeport, WV 26330-9010 - City
- Bridgeport
- State
- West Virginia
- Zip
- 26330-9010
- Phone Number
- 681-342-3690
- Fax Number
- 681-342-3695
Provider Business Mailing Address Details
- Address
- 527 Medical Park Dr Ste 402W
Bridgeport, WV 26330-9010 - City
- Bridgeport
- State
- WV
- Zip
- 26330-9010
- Phone Number
- 681-342-3690
- Fax Number
- 681-342-3695
License Information
- License Number (1)
- 25MA10445200
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine, Gastroenterology · 207RG0100X
- License Number (2)
- 31030
- License State (2)
- WV
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Siva Prasad Maruboyina, MD?
The NPI number of Dr. Siva Prasad Maruboyina, MD is 1265816409. It was assigned on July 17, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Siva Prasad Maruboyina, MD?
Dr. Siva Prasad Maruboyina, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA10445200.
Where does Dr. Siva Prasad Maruboyina, MD practice?
The practice location is 527 Medical Park Dr Ste 402W, Bridgeport, WV 26330-9010. The office can be reached at 681-342-3690 (phone) or 681-342-3695 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265816409 directly on the NPPES registry website.