Individual provider · Type 1 NPI

Ma Theresa Concepcion Bautista, MD

Critical Care Medicine (Internal Medicine) Physician · Charleston, WV

NPI number 1780973792 Active

Practice location

501 Morris St, 3 West Administration
Charleston, WV 25301-1326

Call (304) 388-3574 Map

Fax (304) 388-6481

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X25853 (WV)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1780973792

Ma Theresa Concepcion Bautista, MD's National Provider Identifier is 1780973792, issued on Mar 30, 2011. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Charleston, WV. The record was last updated on Nov 24, 2015.