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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRAKASH G ETTIGI MDPC

Active Organization

Mental Health Clinic · RICHMOND, VA

Registration Details

NPI Number
1699793711
Provider Type
Organization
NPI Issued
Jul 17, 2006 (19.762577007533 yrs)
Last Updated
Aug 22, 2020
License
0101028834 (VA)

Practice Information

Address
3212 CUTSHAW AVENUE
SUITE 303
RICHMOND, VA, 232305018
Browse VA providers · Browse ZIP 23230
Phone
8043533324
Fax
8043534498
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.