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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306981964 | NPPES |
| Pennsylvania | MEDICAID | 1836754 | |
| Pennsylvania | Other | VE10411733 |
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