| Metropolitan Behavioral Associates, Inc. | |
|
645 S Central Ave Chicago IL 60644 | |
| (773) 626-4300 | |
| Not Available |
| Full Name | Metropolitan Behavioral Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 645 S Central Ave, Chicago, Illinois |
| Authorized Official Name and Position | Thodur M Ranganathan (PRESIDENT) |
| Authorized Official Contact | 3127295177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Behavioral Associates, Inc. 155 N Michigan Ave Ste 634 Chicago IL 60601-7796 Ph: (312) 729-5177 | Metropolitan Behavioral Associates, Inc. 645 S Central Ave Chicago IL 60644 Ph: (773) 626-4300 |
| NPI Number | 1376039263 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 0446500656 |
|---|---|
| Medicare Enrollment ID | O20180910002728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376039263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Thodur M Ranganathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841269727 PECOS PAC ID: 1456330703 Enrollment ID: I20040719001341 |
| Provider Name | Sanjay Magan Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326240623 PECOS PAC ID: 2668573817 Enrollment ID: I20070718000623 |
| Provider Name | Ejaz N Jafri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408289 PECOS PAC ID: 9830458041 Enrollment ID: I20180116001902 |
| Provider Name | Raymond Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354133 PECOS PAC ID: 7911246996 Enrollment ID: I20190308002759 |
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