Search › West Virginia › 207R00000X
Poojitha Pathakamudi, MD
NPI 1053044024 · on the registry since 2022
Practice
- Address
- 4605 Maccorkle Ave Sw
South Charleston, WV 25309 - Phone
- (304) 766-3600
- Organisation at this address
- Hmg
Modi Medical Corporation
Ths Physician Partners Inc
Premier Surgical Assist, Inc.
Kanawha Pathology Associates IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 126
Additional practice sites
- 1901 1st Ave, New York, NY
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NY, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia