MAMIDI CARDIOLOGY PLLC
Osteopathic Medicine at Hospital Dr, Monaville, WV

License number
West Virginia WV12853
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: SATYANARAYANA MAMIDI MD
Title: OWNER
Phone: (304) 831-2300
Address
Address
20 Hospital Dr, Monaville, WV 25601
National Provider ID: 1316978745
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MAMIDI CARDIOLOGY, PLLC

Monaville, WV  -  Charleston, WV

Status:
Inactive
Inactive reason:
LLC Termination (Domestic)
Registration:
Sep 22, 2003
Inactive since:
Dec 31, 2009
Addresses:
#77 Hospital Dr, Logan, WV 25601 (Mailing)
5130 Maccorkle Ave, Charleston, WV 25304 (Physical)
Business type:
Professional Limited Liability Company
Organizers:
Satyanarayana Mamidi (Member), #77 Hospital Dr, Logan, WV 25601,Satyanarayana M. Mamidi (Organizer), 18 Pigeon Roust Rd, Chapmanville, WV 25508

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