Prabhavathi Katta Viralam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME006302 Issued in FL

Practice address

3365 Burns Rd
Ste 217
Palm Beach Gardens, FL 33410-4326

Phone

(561) 627-7433

Fax

(561) 775-1055

NPI assigned

Nov 22, 2005

Last updated

Jul 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gardens Family Practice, PA

  • Family Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1033498837
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1043293210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "STE 217",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-627-7433",
            "fax_number": "561-775-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "STE 217",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-627-7433",
            "fax_number": "561-775-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRALAM",
        "first_name": "PRABHAVATHI",
        "middle_name": "KATTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME006302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378758300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Behavioral Health Associates, LLC
• Asyia Renee Vierengel
• Vijay B Harpalani, MD, PA
• Gilian Abigail Vindel, BT
• Vip Urgent Care Inc. (Gardens Urgent Care)
• Virtual Physical Therapists PLLC
• Vitalis Physicians Ca PA
• Vitalis Physicians PA
• Viva Health Centers
• David Mark Voellinger, MSPT

• Family Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.