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1891100368
SIVA PRASAD REDDY PESALA
PARKERSBURG, WV
NPI
1891100368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: WV 32764)
Enumeration Date
2014-06-24
Last Update Date
2023-09-17
Business Address
SIVA PRASAD REDDY PESALA
3803 EMERSON AVE
PARKERSBURG, WV 26104-1116
Phone number: 304-485-5041
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Mailing Address
SIVA PRASAD REDDY PESALA
3803 EMERSON AVE
PARKERSBURG, WV 26104-1116
Phone number: 304-485-5041
Copy
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