Bodakunta, Praveen

Bodakunta, Praveen is an individual health care provider with primary practice located at 33480 13Th Pl S , Federal Way WA 98003-6357. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Bodakunta, Praveen can be contacted via phone (253) 285-7101.

Contact Information

Primary practice address
33480 13Th Pl S Federal Way WA 98003-6357
Phone: (253) 285-7101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN60641646 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60909328 Washington

Profile Details

NPI number 1295243848
LBN Legal business name Bodakunta, Praveen
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Dec 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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