| Pathwave Psychiatry Pc | |
|
1270 Campus Dr Berkeley CA 94708-2045 | |
| (617) 299-9383 | |
| Not Available |
| Full Name | Pathwave Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1270 Campus Dr, Berkeley, California |
| Authorized Official Name and Position | Sahab Yaqubi (CEO) |
| Authorized Official Contact | 5109251230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathwave Psychiatry Pc 1270 Campus Dr Berkeley CA 94708-2045 Ph: () - | Pathwave Psychiatry Pc 1270 Campus Dr Berkeley CA 94708-2045 Ph: (617) 299-9383 |
| NPI Number | 1124809793 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124809793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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