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Dr. Prasad Venkata Devabhaktuni, MD
Pulmonary Disease Physician in Fairmont, West Virginia
NPI 1417027103

Prasad Venkata Devabhaktuni is a Pulmonary Disease Physician based in Fairmont, WV and is specialized in Pulmonary Disease. Prasad Venkata Devabhaktuni practices in Fairmont, WV and has the professional credentials of MD. The NPI Number for Prasad Venkata Devabhaktuni is 1417027103 and holds a License No. 15587 (West Virginia).

The current practice location address for Prasad Venkata Devabhaktuni is 14 E Grafton Rd, Fairmont, WV and can be reached out via phone at 304-363-7773 and via fax at 304-363-7773.

Location: 14 E Grafton Rd, Fairmont, WV, 26554-4465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417027103
Provider Name
Prasad Venkata Devabhaktuni
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14 E Grafton Rd, Fairmont, WV, 26554-4465
Phone Number
304-363-7773
Fax Number
304-363-7773
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0009095000 05 WV
0071632000 05 WV
institution
Provider Business Practice Location Address Details
Address
14 E Grafton Rd
City
Fairmont
State
West Virginia
Zip
26554-4465
Phone Number
304-363-7773
Fax Number
304-363-7773
person
Provider Business Mailing Address Details
Address
14 E Grafton Rd
City
Fairmont
State
West Virginia
Zip
26554-4465
Phone Number
304-363-7773
Fax Number
304-363-7773
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
15587 (West Virginia)
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 physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
15587 (West Virginia)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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