| NPI | 1033455803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA S PRAYAGA Md 301-674-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DC MD21377) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: VA 0101053989) |
| Enumeration Date | 2012-12-22 |
| Last Update Date | 2018-08-14 |