R Prasad Degala MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30799 Issued in NC

Legal business name

R PRASAD DEGALA MD PC

Practice address

105 W Becker Dr
P.O Drawer 1520
Roanoke Rapids, NC 27870-4800

Phone

(252) 535-2422

Fax

(252) 535-1523

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ramamohana Prasad Degala, MD

Title

President

Phone

(252) 535-2422

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649262445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704800",
            "telephone_number": "252-535-2422",
            "fax_number": "252-535-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W BECKER DR",
            "address_2": "P.O DRAWER 1520",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704800",
            "telephone_number": "252-535-2422",
            "fax_number": "252-535-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R PRASAD DEGALA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGALA",
        "authorized_official_first_name": "RAMAMOHANA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-535-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "30799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI# DR.RAMAMOHANA DEGALA",
            "identifier": "1417152687",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928184",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.