Veerabathini, Mukundam Nmi

Veerabathini, Mukundam Nmi is an sole proprietor health care provider with primary practice located at 3500 E College Ave Suite 1200, State College PA 16801-7569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Veerabathini, Mukundam Nmi can be contacted via phone (814) 355-6782.

Contact Information

Primary practice address
3500 E College Ave Suite 1200 State College PA 16801-7569
Phone: (814) 355-6782
Fax: (814) 355-6985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD072878-L Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD072878L Pennsylvania

Profile Details

NPI number 1306981964
LBN Legal business name Veerabathini, Mukundam Nmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 16th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306981964 NPPES
Pennsylvania MEDICAID 1836754
Pennsylvania Other VE10411733

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