| R Prasad Degala Md Pc | |
|
105 W Becker Dr P.o Drawer 1520 Roanoke Rapids NC 27870-4800 | |
| (252) 535-2422 | |
| (252) 535-1523 |
| Full Name | R Prasad Degala Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 105 W Becker Dr, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Ramamohana Prasad Degala (PRESIDENT) |
| Authorized Official Contact | 2525352422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Prasad Degala Md Pc 105 W Becker Dr Roanoke Rapids NC 27870-4800 Ph: (252) 535-2422 | R Prasad Degala Md Pc 105 W Becker Dr P.o Drawer 1520 Roanoke Rapids NC 27870-4800 Ph: (252) 535-2422 |
| NPI Number | 1649262445 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649262445 | NPI | - | NPPES |
| 1417152687 | Other | NPI# DR.RAMAMOHANA DEGALA | |
| 8928184 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 30799 (North Carolina) | Primary |
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