Organization
PARWATI MADDALI MD PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARWATI C MADDALI MD (PRESIDENT)
(321) 631-4222
Entity
Organization
Contact information
Practice address
845 EXECUTIVE LN, 100, ROCKLEDGE, FL 32955-3528
(321) 631-4222
(321) 631-4302
Mailing address
PO BOX 561527, ROCKLEDGE, FL 32956-1527
(321) 631-4222
(321) 631-4302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0066568
FL
Other
Enumeration date
04/02/2007
Last updated
10/10/2013
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