| Piedmont Psychiatric Associates | |
|
459 N Wendover Rd Charlotte NC 28211-1064 | |
| (704) 364-9171 | |
| (704) 364-0176 |
| Full Name | Piedmont Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 459 N Wendover Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Praful C Mehta (PRESIDENT) |
| Authorized Official Contact | 7643649171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Psychiatric Associates 459 N Wendover Rd Charlotte NC 28211-1064 Ph: (704) 364-9171 | Piedmont Psychiatric Associates 459 N Wendover Rd Charlotte NC 28211-1064 Ph: (704) 364-9171 |
| NPI Number | 1285829721 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 07/31/2009 |
| Medicare PECOS PAC ID | 8820141666 |
|---|---|
| Medicare Enrollment ID | O20090727000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285829721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 23413 (North Carolina) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24017 (North Carolina) | Secondary |
| Provider Name | Praful C Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376660530 PECOS PAC ID: 2163450438 Enrollment ID: I20050728000240 |
| Provider Name | Malti Praful Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265659965 PECOS PAC ID: 8628006970 Enrollment ID: I20050728000997 |
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