IndividualActive
Kingsley Pudota, MD
NPI 1942594924 · Hospitalist Physician · Charleston, WV
Provider details
- NPI number
- 1942594924
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101256996 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3110 Maccorkle Ave Se
Charleston, WV 25304-1210
Phone: (304) 388-5590
Fax: (304) 388-8238
Approximate (ZIP-level) locationGet directions
Mailing address
3110 Maccorkle Ave Se
Charleston, WV 25304-1210
Additional practice locations (1)
- 509 N Brightleaf BlvdSmithfield, NC 27577-4407Phone: (919) 938-7189
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.