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Contact Information

PRAVEEN MOOLAMALLA, MD
1575 HERITAGE DRIVE
SUITE 203
MCKINNEY, TX75069
 Phone: 214-856-4483
 Fax: 214-856-4487
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PRAVEEN MOOLAMALLA · (Male)

NPI Number 1114935954
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2006
Last updated 07/19/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # K3346
  • TX Medicaid 122416401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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