| Innovative Psychiatry Llc | |
|
8850 Columbia 100 Pkwy Suite 403 Columbia MD 21045-2374 | |
| (443) 542-0773 | |
| (443) 542-0931 |
| Full Name | Innovative Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8850 Columbia 100 Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Anandraj Mattai (OWNER) |
| Authorized Official Contact | 4435420773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychiatry Llc 8850 Columbia 100 Pkwy Suite 403 Columbia MD 21045-2374 Ph: (443) 542-0773 | Innovative Psychiatry Llc 8850 Columbia 100 Pkwy Suite 403 Columbia MD 21045-2374 Ph: (443) 542-0773 |
| NPI Number | 1215398334 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215398334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D67668 (Maryland) | Primary |
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