Organization · Type 2 NPI

Prakash G Ettigi MDPC

Mental Health Clinic/Center (Including Community Mental Health Center) · Richmond, VA

NPI number 1699793711 Active

Practice location

3212 Cutshaw Avenue, Suite 303
Richmond, VA 23230-5018

Call (804) 353-3324 Map

Fax (804) 353-4498

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X0101028834 (VA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1699793711

Prakash G Ettigi MDPC's National Provider Identifier is 1699793711, issued on Jul 17, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Richmond, VA. The record was last updated on Aug 22, 2020.