| Advanced Telepsychiatry, Inc. | |
|
5372 Fallowater Lane Suite C Roanoke VA 24018 | |
| (540) 772-1974 | |
| (540) 283-0032 |
| Full Name | Advanced Telepsychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5372 Fallowater Lane, Roanoke, Virginia |
| Authorized Official Name and Position | Paras Pancholi (CEO) |
| Authorized Official Contact | 5407721974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Telepsychiatry, Inc. 5372 Fallowater Lane Suite C Roanoke VA 24018 Ph: (540) 772-1974 | Advanced Telepsychiatry, Inc. 5372 Fallowater Lane Suite C Roanoke VA 24018 Ph: (540) 772-1974 |
| NPI Number | 1003111238 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003111238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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