Mukkamala, Prasadarao B
Mukkamala, Prasadarao B is an sole proprietor health care provider with primary practice located at Union Square, One Monongalia Street Suite 3, Charleston WV 25302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Mukkamala, Prasadarao B can be contacted via phone (304) 344-5153.Contact Information
Primary practice address
Union Square, One Monongalia Street Suite 3
Charleston WV 25302
Phone: (304) 344-5153
Fax: (304) 344-5184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2081H0002X | 11880 | West Virginia |
Profile Details
| NPI number | 1598970089 |
|---|---|
| LBN Legal business name | Mukkamala, Prasadarao B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1598970089 | NPPES |
| West Virginia | MEDICAID | 0113321000 | |
| West Virginia | Other | 1022886 |
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