Moolamalla, Praveen
Moolamalla, Praveen is an sole proprietor health care provider with primary practice located at 1575 Heritage Drive Suite 203, Mckinney TX 75069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moolamalla, Praveen can be contacted via phone (214) 856-4483.Contact Information
Primary practice address
1575 Heritage Drive Suite 203
Mckinney TX 75069
Phone: (214) 856-4483
Fax: (214) 856-4487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | K3346 | Texas |
Profile Details
| NPI number | 1114935954 |
|---|---|
| LBN Legal business name | Moolamalla, Praveen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114935954 | NPPES |
| Texas | MEDICAID | 122416401 |
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