IndividualActive
Ma Theresa Bautista, MD
NPI 1780973792 · Critical Care Medicine (Internal Medicine) Physician · Charleston, WV
Provider details
- NPI number
- 1780973792
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25853 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 Morris St
3 West Administration
Charleston, WV 25301-1326
Phone: (304) 388-3574
Fax: (304) 388-6481
Approximate (ZIP-level) locationGet directions
Mailing address
501 Morris St
Charleston, WV 25301-1326
Registry dates
- Enumerated
- 2011-03-30
- Last updated
- 2015-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.