Prabhavathi Katta Viralam MD

NPI 1043293210 - Family Medicine - 207Q00000X

NPI Details
NPI 1043293210
Gender Female
Enumeration Date 11/22/2005
Last Updated 07/13/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
3365 BURNS RD
STE 217
PALM BEACH GARDENS FL, 33410-4326, US
Phone (561) 627-7433
Fax (561) 775-1055
Business Location
3365 BURNS RD
STE 217
PALM BEACH GARDENS FL, 33410-4326, US
Phone (561) 627-7433
Fax (561) 775-1055
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME006302
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According to our database, Prabhavathi Katta Viralam MD NPI is 1043293210, taxonomy code is 207Q00000X and license number is ME006302, license state is located at Florida. Prabhavathi Katta Viralam MD physically located at 3365 Burns Rd, Palm Beach Gardens FL, 33410-4326. NPI Number Prabhavathi Katta Viralam MD has the Individual type.

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1043293210 NPI number is provided on an as is basis without warranty of any kind. 1043293210 is maintained by the National Plan & Provider Enumeration System. The contents of Prabhavathi Katta Viralam MD are for informational purposes only.