Organization
R PRASAD DEGALA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAMOHANA PRASAD DEGALA MD (PRESIDENT)
(252) 535-2422
Entity
Organization
Contact information
Practice address
105 W BECKER DR, P.O DRAWER 1520, ROANOKE RAPIDS, NC 27870-4800
(252) 535-2422
(252) 535-1523
Mailing address
105 W BECKER DR, ROANOKE RAPIDS, NC 27870-4800
(252) 535-2422
(252) 535-1523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30799
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417152687
NPI# DR.RAMAMOHANA DEGALA
—
05
—
8928184
—
NC
Enumeration date
08/17/2005
Last updated
08/22/2020
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