Individual
DR. MUKUNDAM NMI VEERABATHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 E COLLEGE AVE, SUITE 1200, STATE COLLEGE, PA 16801-7569
(814) 355-6782
(814) 355-6985
Mailing address
3500 E COLLEGE AVE, SUITE 1200, STATE COLLEGE, PA 16801-7569
(814) 355-6782
(814) 355-6985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD072878L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD072878-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836754
—
PA
01
—
VE10411733
HIGHMARK
PA
Enumeration date
02/21/2007
Last updated
07/16/2014
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