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1598970089
PRASADARAO B MUKKAMALA
CHARLESTON, WV
NPI
1598970089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine
(Licence: WV 11880)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Dr. PRASADARAO B MUKKAMALA M.D.
UNION SQUARE, ONE MONONGALIA STREET SUITE 3
CHARLESTON, WV 25302
Phone number: 304-344-5153
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Mailing Address
Dr. PRASADARAO B MUKKAMALA M.D.
UNION SQUARE, ONE MONONGALIA STREET SUITE 3
CHARLESTON, WV 25302
Phone number: 304-344-5153
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