Dr Prakash G Ettigi, MD | |
6530 Hull Street Rd, Richmond, VA 23224 | |
(804) 674-3425 | |
Not Available |
Full Name | Dr Prakash G Ettigi |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 6530 Hull Street Rd, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326057597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0101028834 (Virginia) | Primary |
Entity Name | Jencare Neighborhood Medical East Richmond, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891089454 PECOS PAC ID: 3173782398 Enrollment ID: O20120307000919 |
Entity Name | Jencare Neighborhood Medical New Market, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568756948 PECOS PAC ID: 2860652823 Enrollment ID: O20120328000803 |
Entity Name | Jencare Neighborhood Medical South Park Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134489214 PECOS PAC ID: 9931357233 Enrollment ID: O20120911000671 |
Entity Name | Jencare Neighborhood Medical Center Virginia Beach Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770924789 PECOS PAC ID: 8921236167 Enrollment ID: O20140114001303 |
Entity Name | Central Virginias Preferred Providers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730638107 PECOS PAC ID: 1557793528 Enrollment ID: O20191112003342 |
Mailing Address | Practice Location Address |
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Dr Prakash G Ettigi, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Dr Prakash G Ettigi, MD 6530 Hull Street Rd, Richmond, VA 23224 Ph: (804) 674-3425 |
Dr. Bruce Robert Stevens, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1806 Summit Ave Ste 300, Richmond, VA 23230 Phone: 804-362-2227 Fax: 804-362-2228 | |
Dr. Anne Hedges Horst, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8010 Ridge Rd, Suite E2, Richmond, VA 23229 Phone: 804-282-3882 Fax: 804-745-2418 | |
Dr. Courtney Beth Kusler, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1308 Sherwood Ave, Richmond, VA 23220 Phone: 804-828-3137 Fax: 804-828-9493 | |
Akila Khan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Vcuhs Department Of Neurology, 1250 E. Marshall Street, Richmond, VA 23298 Phone: 804-828-9583 | |
Kathleen T. Pearson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Dept. Of Neurology, Richmond, VA 23298 Phone: 804-828-9350 Fax: 804-828-8965 | |
Inna Garber, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 | |
Dr. Lawrence Daniel Morton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall Street, Neurology, Richmond, VA 23298 Phone: 804-828-0442 Fax: 804-828-6690 |