| NPI | 1124131867 |
|---|---|
| Professional Name | CHANNAVAJJALA M PRASAD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101041720) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-03-04 |