| Holistic Family Psychiatry Llc | |
|
1535 Mount Vernon Rd Ste 100-a Atlanta GA 30338-4149 | |
| (404) 951-6020 | |
| Not Available |
| Full Name | Holistic Family Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1535 Mount Vernon Rd Ste 100-a, Atlanta, Georgia |
| Authorized Official Name and Position | Panchajanya Paul (MD) |
| Authorized Official Contact | 6782508883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Family Psychiatry Llc Po Box 889128 Atlanta GA 30356-1128 Ph: () - | Holistic Family Psychiatry Llc 1535 Mount Vernon Rd Ste 100-a Atlanta GA 30338-4149 Ph: (404) 951-6020 |
| NPI Number | 1285264770 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Medicare PECOS PAC ID | 8820412398 |
|---|---|
| Medicare Enrollment ID | O20200717000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285264770 | NPI | - | NPPES |
| 1356664007 | Other | PAUL PANCHAJANYA NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Panchajanya Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356664007 PECOS PAC ID: 2163646613 Enrollment ID: I20160216000358 |
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