| New Garden Psychiatry | |
|
2016 New Garden Rd Ste C Greensboro NC 27410-2502 | |
| (336) 541-8111 | |
| (855) 427-6593 |
| Full Name | New Garden Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 2016 New Garden Rd Ste C, Greensboro, North Carolina |
| Authorized Official Name and Position | Janardhana Jonnalagadda (OWNER) |
| Authorized Official Contact | 3365418111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Garden Psychiatry 2016 New Garden Rd Ste C Greensboro NC 27410-2502 Ph: (336) 541-8111 | New Garden Psychiatry 2016 New Garden Rd Ste C Greensboro NC 27410-2502 Ph: (336) 541-8111 |
| NPI Number | 1598149114 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 6406164441 |
|---|---|
| Medicare Enrollment ID | O20150924002516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598149114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2005-01663 (North Carolina) | Primary |
| Provider Name | Janardhana R Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053351015 PECOS PAC ID: 4284736075 Enrollment ID: I20070226000286 |
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