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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043293210 NPPES
Florida MEDICAID 378758300

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