SIVA PRASAD REDDY PESALA NPI 1891100368

NPI Information

Siva Prasad Reddy Pesala is a neurology psychiatry neurology in Parkersburg, WV with 17 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Siva Prasad Reddy Pesala NPI is 1891100368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3803 EMERSON AVE
PARKERSBURG, WV
ZIP 26104-116
Phone: (304) 485-5041
Fax: (304) 485-5678

The NPI 1891100368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 9/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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