Individual provider · Type 1 NPI

Mythili Pulavarthi, MD

Student in an Organized Health Care Education/Training Program · Danville, PA

NPI number 1255081089 Active

Practice location

100 N Academy Ave
Danville, PA 17822-0001

Mailing address

PO Box 780
Morgantown, WV 26507-0780

Other practice locations

  • 1 Medical Center Dr, Morgantown, WV 26506-1200 · (304) 598-4000

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X36993 (WV)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255081089

Mythili Pulavarthi, MD's National Provider Identifier is 1255081089, issued on Mar 25, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danville, PA. The record was last updated on Aug 24, 2026.