institution
Prakash G Ettigi Mdpc
Mental Health Clinic/Center (Including Community Mental Health Center) in Richmond, Virginia
NPI 1699793711

Prakash G Ettigi Mdpc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Richmond, VA and is specialized in Mental Health (Including Community Mental Health Center). Prakash G Ettigi Mdpc practices in Richmond, VA. The NPI Number for Prakash G Ettigi Mdpc is 1699793711 and holds a License No. 0101028834 (Virginia).

The current practice location address for Prakash G Ettigi Mdpc is 3212 Cutshaw Avenue, Richmond, VA and can be reached out via phone at 804-353-3324 and via fax at 804-353-4498.

Location: 3212 Cutshaw Avenue, Richmond, VA, 23230-5018
institution
Provider Profile Details
NPI Number
1699793711
Provider Name
Prakash G Ettigi Mdpc
Credential
Provider Entity Type
Organization
Address
3212 Cutshaw Avenue, Richmond, VA, 23230-5018
Phone Number
804-353-3324
Fax Number
804-353-4498
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3212 Cutshaw Avenue
City
State
Zip
23230-5018
Phone Number
804-353-3324
Fax Number
804-353-4498
person
Provider Business Mailing Address Details
Address
3212 Cutshaw Avenue
City
State
Zip
23230-5018
Phone Number
804-353-3324
Fax Number
804-353-4498
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
0101028834 (Virginia)
Definition
Definition to come...
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