MEDICARE: MAHIJA KOTTAPALLI MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	21183	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1366511271	OTHER		INDIVIDUAL NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457560963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAHIJA KOTTAPALLI MD PLLC

Provider Business Mailing Address
First Line	:	1401 HOSPITAL DR
Second Line	:	SUITE 201
City	:	HURRICANE
State	:	WV
Zip	:	25526-9237
Country	:	US
Telephone Number	:	304-757-4032
Fax Number	:	304-757-3026

Provider Business Practice Location Address
First Line	:	1401 HOSPITAL DR
Second Line	:	SUITE 201
City	:	HURRICANE
State	:	WV
Zip	:	25526-9237
Country	:	US
Telephone Number	:	304-757-4032
Fax Number	:	304-757-3026

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAHIJA KOTTAPALLI
Credential	:	MD
Telephone Number	:	304-757-4032

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1407074867 — DR. EARL MICHAEL TECSON FAMULARCANO MD
Practice Location Address:

1401 HOSPITAL DR , SUITE 306
HURRICANE, WV
25526-9237

Practice Phone: 304-397-5744
Practice Fax: 304-757-0964

1629097241 — JEANNE KAYE BAILEY DDS
Practice Location Address:

1401 HOSPITAL DR
HURRICANE, WV
25526-9237

Practice Phone: 304-757-7428
Practice Fax: 304-757-3535

1851479885 — MR. BRUCE E CLAY MA
Practice Location Address:

1401 HOSPITAL DR , STE# 106
HURRICANE, WV
25526-9237

Practice Phone: 304-757-8650
Practice Fax: 304-757-0633

1295813244 — INSIGHT PSYCHOLOGICAL & COUNSELING INC.
Practice Location Address:

1401 HOSPITAL DR , STE # 106
HURRICANE, WV
25526-9237

Practice Phone: 304-757-8650
Practice Fax: 304-757-0633

1366511271 — DR. MAHIJA KOTTAPALLI M.D.
Practice Location Address:

1401 HOSPITAL DR , SUITE # 201
HURRICANE, WV
25526-9237

Practice Phone: 304-757-4032
Practice Fax: 304-757-3026

1659498335 — MISS SHAWNA LEE ROCKNICH MA
Practice Location Address:

1401 HOSPITAL DR , STE 106
HURRICANE, WV
25526-9237

Practice Phone: 304-757-8650
Practice Fax:

Directions to “MAHIJA KOTTAPALLI MD PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.