| Bansal Psychiatric Inc | |
|
4160 Suisun Valley Rd Ste E653 Fairfield CA 94534-4016 | |
| (925) 331-8911 | |
| (425) 249-3077 |
| Full Name | Bansal Psychiatric Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4160 Suisun Valley Rd Ste E653, Fairfield, California |
| Authorized Official Name and Position | Raghunath Bansal (OWNER/PRESIDENT) |
| Authorized Official Contact | 9253318911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bansal Psychiatric Inc 4160 Suisun Valley Rd Ste E653 Fairfield CA 94534-4016 Ph: (925) 331-8911 | Bansal Psychiatric Inc 4160 Suisun Valley Rd Ste E653 Fairfield CA 94534-4016 Ph: (925) 331-8911 |
| NPI Number | 1780307769 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780307769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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