| Md Psychiatry Clinic Llc | |
|
555 North Point E Suite 400 Alpharetta GA 30022 | |
| (470) 387-0303 | |
| Not Available |
| Full Name | Md Psychiatry Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 North Point E, Alpharetta, Georgia |
| Authorized Official Name and Position | Zehra Erdeve Temiz (MD/CEO) |
| Authorized Official Contact | 4703870303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Psychiatry Clinic Llc 210 Dodd Ln Alpharetta GA 30005-3973 Ph: () - | Md Psychiatry Clinic Llc 555 North Point E Suite 400 Alpharetta GA 30022 Ph: (470) 387-0303 |
| NPI Number | 1790362994 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Medicare PECOS PAC ID | 1355715632 |
|---|---|
| Medicare Enrollment ID | O20230328002920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790362994 | NPI | - | NPPES |
| 1912326034 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Elahe Mohazab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770993610 PECOS PAC ID: 2163647546 Enrollment ID: I20140626001336 |
| Provider Name | Zehra Erdeve Temiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912326034 PECOS PAC ID: 9739304924 Enrollment ID: I20191017001977 |
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