NPI 1245412683

Anjaneyulu Thagirisa, M.D.

Organisation Internal Medicine Physician Fairmont, WV

Practice location

Address: 1539 Country Club Rd, Fairmont, WV 26554-1306
Phone: (304) 367-0043
Mailing address: PO Box 2990, Fairmont, WV 26555-2990

Authorised official

Name: Anjaneyulu Thagirisa
Title: Owner
Phone: (304) 367-0043

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 13341 (WV)

Other Internal Medicine providers in West Virginia →

Registry record

NPI: 1245412683
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 13 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.