SIVA PRASAD REDDY PESALA

PARKERSBURG, WV
NPI1891100368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: WV  32764)
Enumeration Date2014-06-24
Last Update Date2023-09-17
Business Address
SIVA PRASAD REDDY PESALA
3803 EMERSON AVE
PARKERSBURG, WV 26104-1116
Phone number: 304-485-5041
Mailing Address
SIVA PRASAD REDDY PESALA
3803 EMERSON AVE
PARKERSBURG, WV 26104-1116
Phone number: 304-485-5041