IndividualActive
Charishma Potla, DO
NPI 1649900077 · Hospitalist Physician · Fairmont, WV
Provider details
- NPI number
- 1649900077
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OT021926 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1325 Locust Ave
Fairmont, WV 26554-1435
Phone: (304) 534-7810
Approximate (ZIP-level) locationGet directions
Mailing address
1325 Locust Ave
Fairmont, WV 26554-1435
Additional practice locations (1)
- 5501 Old York RdPhiladelphia, PA 19141-3098Phone: (215) 456-7890
Registry dates
- Enumerated
- 2022-06-17
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.