| Nasr Psychiatric Services, P.c. | |
|
2814 Franklin St Michigan City IN 46360-6140 | |
| (219) 872-1500 | |
| Not Available |
| Full Name | Nasr Psychiatric Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2814 Franklin St, Michigan City, Indiana |
| Authorized Official Name and Position | Suhayl Joseph Nasr (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2198721500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasr Psychiatric Services, P.c. Po Box 8852 Michigan City IN 46361-8852 Ph: (219) 872-1500 | Nasr Psychiatric Services, P.c. 2814 Franklin St Michigan City IN 46360-6140 Ph: (219) 872-1500 |
| NPI Number | 1972691152 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517149289 |
|---|---|
| Medicare Enrollment ID | O20110317000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972691152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 50003224 (Indiana) | Primary |
| Provider Name | Suhayl J Nasr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891883062 PECOS PAC ID: 2769664440 Enrollment ID: I20110317000108 |
| Provider Name | Anand P Popli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619964814 PECOS PAC ID: 8628960960 Enrollment ID: I20111020000052 |
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