Individual
BHARATH MUPPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4434 ELECTRIC RD, ROANOKE, VA 24018-0722
(540) 527-4900
(540) 772-3913
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5705
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0116033679
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2020
Last updated
05/10/2024
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