| Hope Health Psychiatry, Inc. | |
|
3600 Sisk Rd Ste 4 Modesto CA 95356-0535 | |
| (209) 707-2029 | |
| (209) 643-7735 |
| Full Name | Hope Health Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3600 Sisk Rd Ste 4, Modesto, California |
| Authorized Official Name and Position | Kamaljot Bajwa (OWNER) |
| Authorized Official Contact | 2096048398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Health Psychiatry, Inc. 3600 Sisk Rd Ste 4 Modesto CA 95356-0535 Ph: (209) 707-2029 | Hope Health Psychiatry, Inc. 3600 Sisk Rd Ste 4 Modesto CA 95356-0535 Ph: (209) 707-2029 |
| NPI Number | 1386228369 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Medicare PECOS PAC ID | 5092114280 |
|---|---|
| Medicare Enrollment ID | O20210519002814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386228369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kamaljot Bajwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659981330 PECOS PAC ID: 4284053240 Enrollment ID: I20200925000000 |
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