MARION LUNG CLINIC - NPI 1053468900 - Internal Medicine in Fairmont, WV

Q: What is Marion Lung Clinic's NPI number?

The NPI number for Marion Lung Clinic is 1053468900. It was assigned to this organization in the NPPES registry on January 4, 2007.

Q: What is Marion Lung Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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About Marion Lung Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARION LUNG CLINIC (NPI 1053468900) is a healthcare organization registered as a pulmonary disease in Fairmont, West Virginia and active in the NPI registry since January 2007. The organization lists Prasad V Devabhaktuni, Owner, as its authorized official.

NPPES Registry Identity

NPI1053468900

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameMARION LUNG CLINIC

Location Address1325 LOCUST AVE, SUITE 35Fairmont, WV 26554-1435

Mailing Address1325 Locust Ave, Suite 35Fairmont, WV 26554-1435 · (304) 363-7773 · Fax (304) 363-7773

Phone(304) 363-7773

Fax(304) 363-7773

Organization SubpartNo

Authorized OfficialPrasad V DevabhaktuniOwner · (304) 363-7773

Enumeration DateJanuary 4, 2007

Last NPPES UpdateAugust 6, 2008

✔ NPI 1053468900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

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.

1325 LOCUST AVE, Fairmont, WV 26554

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Other Identifiers 3

Other001710138WV · Bcbs Group Number

Medicare ID-Type UnspecifiedMA9262431WV · Group Number

Medicaid0009095000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA PULEO DO

Emergency Medicine