| Chand Psychiatric Services, Llc | |
|
10420 Old Olive Street Rd Suite 205 Saint Louis MO 63141-5914 | |
| (314) 692-8516 | |
| Not Available |
| Full Name | Chand Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10420 Old Olive Street Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Deepali G. Chand (OWNER) |
| Authorized Official Contact | 3145044698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chand Psychiatric Services, Llc 10420 Old Olive Street Rd Suite 205 Saint Louis MO 63141-5914 Ph: (314) 692-8516 | Chand Psychiatric Services, Llc 10420 Old Olive Street Rd Suite 205 Saint Louis MO 63141-5914 Ph: (314) 692-8516 |
| NPI Number | 1336381730 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 03/23/2017 |
| Medicare PECOS PAC ID | 1456408160 |
|---|---|
| Medicare Enrollment ID | O20090416000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336381730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2008016006 (Missouri) | Primary |
| Provider Name | Deepali G Chand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154522530 PECOS PAC ID: 6901953611 Enrollment ID: I20090416000023 |
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