DR. PRASAD VENKATA DEVABHAKTUNI (NPI# 1417027103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417027103 |
| Entity Type | Individual |
| Full Name | DR. PRASAD VENKATA DEVABHAKTUNI |
| Credential | M.D. |
| Practice Address |
14 E Grafton Rd Suite C Fairmont WV 26554-4465 |
| Practice Telephone | 3043637773 |
| Practice Fax Number | 3043637773 |
| Mailing Telephone | 3043637773 |
| Mailing Fax Number | 3043637773 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
15587 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
15587 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009095000 | 05 | |
| WV | 0071632000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871527028 | Prasad Devabhaktuni | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2006-07-11 |
| Street Address |
14 E GRAFTON RD SUITE C |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-4465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174544118 | Sleep Network of West Virginia | Clinical Medical Laboratory | 14 E Grafton Rd, Suite D, Fairmont, WV 26554-0067 | 2006-07-23 |
| 1992246102 | Garrett Fetty | Physical Therapist | 14 E Grafton Rd, Fairmont, WV 26554-0067 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053468900 | Marion Lung Clinic | Internal Medicine | 1325 Locust Ave, Suite 35, Fairmont, WV 26554-1435 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427549039 | United Hospital Center, Inc. | Internal Medicine | 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 | 2018-05-21 |
| 1447400759 | Peter H Abbrecht | Internal Medicine | 1352 Steamboat Run Rd, Shepherdstown, WV 25443-4005 | 2008-09-23 |
| 1952429706 | Michael William Blatt M D Inc | Internal Medicine | 2101 Jacob St Ste 702, Wheeling, WV 26003-3844 | 2007-03-27 |
| 1730205162 | Attila A. Lenkey, Jr. M.d. | Internal Medicine | 2101 Jacob St Ste 502, Wheeling, WV 26003-3800 | 2007-03-21 |
| 1841331105 | Houssein Abbass Youness | Internal Medicine | 41 Andalusian Dr, Unit85, Martinsburg, WV 25405-5600 | 2007-02-09 |
| 1982756094 | Mallinath Kayi | Internal Medicine | 401 Division St Ste 305, Charleston, WV 25309-1455 | 2007-01-17 |
| 1235229246 | Brijinder S Kochhar | Internal Medicine | 2950 Pennsylvania Ave, Weirton, WV 26062-3765 | 2006-10-13 |
| 1922105139 | Robert B Altmeyer M D Inc | Internal Medicine | 1131 National Road, Wheeling, WV 26003 | 2006-09-20 |
| 1275643314 | Melvin Theodore Saludes | Internal Medicine | 426 8th St Ste 305, Glen Dale, WV 26038-1451 | 2006-08-30 |
| 1548378276 | Narayana N Reddy | Internal Medicine | 800 Grand Central Mall Ste 4, Vienna, WV 26105-4100 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.