| Columbus Behavioral Services | |
|
3001 Hamilton Road Columbus GA 31904 | |
| (706) 494-1460 | |
| (706) 494-1461 |
| Full Name | Columbus Behavioral Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3001 Hamilton Road, Columbus, Georgia |
| Authorized Official Name and Position | Mohammed Khalid Soomro (M.D.) |
| Authorized Official Contact | 7064941460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Behavioral Services 3001 Hamilton Road Columbus GA 31904 Ph: (706) 494-1460 | Columbus Behavioral Services 3001 Hamilton Road Columbus GA 31904 Ph: (706) 494-1460 |
| NPI Number | 1578719563 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Medicare PECOS PAC ID | 2264607886 |
|---|---|
| Medicare Enrollment ID | O20111209000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578719563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mohammed K Soomro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831242569 PECOS PAC ID: 3577738723 Enrollment ID: I20111219000327 |
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