Mahija Kottapalli MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21183 Issued in WV

Legal business name

MAHIJA KOTTAPALLI MD PLLC

Practice address

1401 Hospital Dr
Suite 201
Hurricane, WV 25526-9237

Phone

(304) 757-4032

Fax

(304) 757-3026

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mahija Kottapalli, MD

Title

Owner

Phone

(304) 757-4032

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457560963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269237",
            "telephone_number": "304-757-4032",
            "fax_number": "304-757-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269237",
            "telephone_number": "304-757-4032",
            "fax_number": "304-757-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHIJA KOTTAPALLI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTTAPALLI",
        "authorized_official_first_name": "MAHIJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-757-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366511271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000361",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Lucas, DPT
• Erin Grace Luciano, OTR
• Erin A Mace, RDN
• Sam Mace
• Christy Mackie
• Rachel Suzanne Malone, DPT
• Joseph B Marinacci, D.C.
• Deborah Marion, L.P.C.
• Jennifer L Marsh, PT
• Branson Martin, DDS

• Psychiatry Physician in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.