Search › West Virginia › 207RG0100X
Siva Prasad Maruboyina, M.D
NPI 1265816409 · on the registry since 2015 · sole proprietor
Practice
- Address
- 527 Medical Park Dr Ste 402w
Bridgeport, WV 26330 - Phone
- (681) 342-3690
- Fax
- (681) 342-3695
- Organisation at this address
- Jamil Ahmed, Md
United Hospital Center
United Hospital Center
Bridgeport Pharmacy Inc
Julie K Mccammon Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 111 Central Ave, Newark, NJ
- 703 Main St, Paterson, NJ
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
- Licence states on file
- NJ, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-09
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