Viralam, Prabhavathi Katta
Viralam, Prabhavathi Katta is an sole proprietor health care provider with primary practice located at 3365 Burns Rd Ste 217, Palm Beach Gardens FL 33410-4326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Viralam, Prabhavathi Katta can be contacted via phone (561) 627-7433.Contact Information
Primary practice address
3365 Burns Rd Ste 217
Palm Beach Gardens FL 33410-4326
Phone: (561) 627-7433
Fax: (561) 775-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME006302 | Florida |
Profile Details
| NPI number | 1043293210 |
|---|---|
| LBN Legal business name | Viralam, Prabhavathi Katta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 13th, 2010 - about 16 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 | 1043293210 | NPPES |
| Florida | MEDICAID | 378758300 |
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