| Redi-med Psychiatry Llc | |
|
4430 Highway 22 Ste B Mandeville LA 70471-3310 | |
| (985) 626-3470 | |
| (985) 674-5377 |
| Full Name | Redi-med Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4430 Highway 22 Ste B, Mandeville, Louisiana |
| Authorized Official Name and Position | Mohammad Imran Naeem (PSYCHIATRIST) |
| Authorized Official Contact | 9856263470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redi-med Psychiatry Llc 4430 Highway 22 Mandeville LA 70471-3310 Ph: (985) 626-3470 | Redi-med Psychiatry Llc 4430 Highway 22 Ste B Mandeville LA 70471-3310 Ph: (985) 626-3470 |
| NPI Number | 1841781911 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Medicare PECOS PAC ID | 8123377595 |
|---|---|
| Medicare Enrollment ID | O20180817000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841781911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 304496 (Louisiana) | Primary |
| Provider Name | Mohammad Imran Naeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811253420 PECOS PAC ID: 6305123811 Enrollment ID: I20170608002487 |
| Provider Name | Anthony Micheal Peperone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103240 PECOS PAC ID: 5092142844 Enrollment ID: I20200218000054 |
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