Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRASADARAO B MUKKAMALA, M.D.
Active Sole ProprietorDR. PRASADARAO B MUKKAMALA, M.D. is a Hospice and Palliative Medicine (PM&R) healthcare provider located in CHARLESTON, West Virginia. NPI 1598970089 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine (PM&R) · CHARLESTON, WV
Registration Details
- NPI Number
- 1598970089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.080938275588 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11880 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
UNION SQUARE, ONE MONONGALIA STREETSUITE 3CHARLESTON, WV, 25302Browse WV providers · Browse ZIP 25302
- Phone
- 3043445153
- Fax
- 3043445184
- Primary Specialty
-
Hospice and Palliative Medicine (PM&R)
2081H0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.