PRAKASH G ETTIGI MDPC NPI 1699793711

NPI Information

PRAKASH G ETTIGI MDPC is a mental health (including community mental health center) clinic center in Richmond, VA. PRAKASH G ETTIGI MDPC NPI is 1699793711. The provider is registered as an organization entity type.
The provider Is Doing Business As Panic Anxiety And Depression Center.

The provider's business location address is:

3212 CUTSHAW AVENUE
SUITE 303
RICHMOND, VA
ZIP 23230-018
Phone: (804) 353-3324
Fax: (804) 353-4498

The provider's authorized official is Prakash G Ettigi .
The authorized official title is President and has the following contact phone number (804) 353-3324.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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