Petla, Surya Srividya

Petla, Surya Srividya is an individual health care provider with primary practice located at 6000 Memorial Church Dr Ste A , Morgantown WV 26501-1503. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Petla, Surya Srividya can be contacted via phone (304) 598-7313.

Contact Information

Primary practice address
6000 Memorial Church Dr Ste A Morgantown WV 26501-1503
Phone: (304) 598-7313
Fax: (304) 598-7319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31173 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31173 West Virginia

Profile Details

NPI number 1184074601
LBN Legal business name Petla, Surya Srividya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Sep 14th, 2022 - about 4 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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