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Siva Prasad Reddy Pesala
Neurology Physician in Parkersburg, West Virginia
NPI 1891100368

Siva Prasad Reddy Pesala is a Neurology Physician based in Parkersburg, WV and is specialized in Neurology. Siva Prasad Reddy Pesala practices in Parkersburg, WV. The NPI Number for Siva Prasad Reddy Pesala is 1891100368 and holds a License No. 32764 (West Virginia).

The current practice location address for Siva Prasad Reddy Pesala is 3803 Emerson Ave, Parkersburg, WV and can be reached out via phone at 304-485-5041 and via fax at 304-485-5678.

Location: 3803 Emerson Ave, Parkersburg, WV, 26104-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891100368
Provider Name
Siva Prasad Reddy Pesala
Credential
Provider Entity Type
Individual
Gender
Male
Address
3803 Emerson Ave, Parkersburg, WV, 26104-1116
Phone Number
304-485-5041
Fax Number
304-485-5678
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2014019434 01 MO MISSOURI TEMPORARY LICENSE
institution
Provider Business Practice Location Address Details
Address
3803 Emerson Ave
City
Parkersburg
State
West Virginia
Zip
26104-1116
Phone Number
304-485-5041
Fax Number
304-485-5678
person
Provider Business Mailing Address Details
Address
3803 Emerson Ave
City
Parkersburg
State
West Virginia
Zip
26104-1116
Phone Number
304-485-5041
Fax Number
304-485-5678
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
32764 (West Virginia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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