Pesala, Siva Prasad Reddy

Pesala, Siva Prasad Reddy is an sole proprietor health care provider with primary practice located at 3803 Emerson Ave , Parkersburg WV 26104-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pesala, Siva Prasad Reddy can be contacted via phone (304) 485-5041.

Contact Information

Primary practice address
3803 Emerson Ave Parkersburg WV 26104-1116
Phone: (304) 485-5041
Fax: (304) 485-5678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 32764 West Virginia

Profile Details

NPI number 1891100368
LBN Legal business name Pesala, Siva Prasad Reddy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Sep 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891100368 NPPES
Missouri Other 2014019434 MISSOURI TEMPORARY LICENSE

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