VAIDHYAA PAEDIATRIX, PLLC
Medical Practice at Hospital Plz, Valley Chapel, WV

License number
West Virginia 18760B
Category
Medical Practice
Type
Pediatrics
Owner
Name: MUTHUMANIMOLI SIVAKUMARAN MD
Title: PRESIDENT
Phone: (304) 269-0865
Address
Address
29 Hospital Plz SUITE A, Valley Chapel, WV 26452
National Provider ID: 1245319821
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VAIDHYAA PAEDIATRIX PLLC

Valley Chapel, WV  -  Los Banos, CA

Status:
Inactive
Inactive reason:
LLC Termination (Domestic)
Registration:
Jun 22, 2001
Inactive since:
Jul 2, 2014
Addresses:
PO Box 748, Weston, WV 26452 (Mailing)
K Sivakumaran, Los Banos, CA 93635 (Physical)
Business type:
Professional Limited Liability Company
Member:
Muthumanimoli Sivakumaran (Member), 154 Edgewood Dr, Weston, WV

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