| Affiliates In Psychiatry, Pa | |
|
260 Chapman Rd Ste 100c Newark DE 19702-5410 | |
| (302) 738-7040 | |
| (302) 738-7042 |
| Full Name | Affiliates In Psychiatry, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 260 Chapman Rd Ste 100c, Newark, Delaware |
| Authorized Official Name and Position | Praful C. Desai (PRESIDENT) |
| Authorized Official Contact | 3027387040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliates In Psychiatry, Pa Po Box 5376 Wilmington DE 19808-0376 Ph: (302) 738-7040 | Affiliates In Psychiatry, Pa 260 Chapman Rd Ste 100c Newark DE 19702-5410 Ph: (302) 738-7040 |
| NPI Number | 1679792345 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/29/2012 |
| Medicare PECOS PAC ID | 3274794631 |
|---|---|
| Medicare Enrollment ID | O20120411000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679792345 | NPI | - | NPPES |
| 0000157101 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C1-0001670 (Delaware) | Primary |
| Provider Name | Praful C Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841383718 PECOS PAC ID: 2062673122 Enrollment ID: I20120417000345 |
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