Organization
PRAKASH G ETTIGI MDPC
Active
Other names
Panic Anxiety and Depression center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKASH G ETTIGI MD (PRESIDENT)
(804) 353-3324
Entity
Organization
Contact information
Practice address
3212 CUTSHAW AVENUE, SUITE 303, RICHMOND, VA 23230-5018
(804) 353-3324
(804) 353-4498
Mailing address
3212 CUTSHAW AVENUE, SUITE 303, RICHMOND, VA 23230-5018
(804) 353-3324
(804) 353-4498
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0101028834
VA
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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