| Refound Psychiatry Services Llc | |
|
10 S Hospital Dr Fulton MO 65251-2510 | |
| (573) 443-4431 | |
| Not Available |
| Full Name | Refound Psychiatry Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10 S Hospital Dr, Fulton, Missouri |
| Authorized Official Name and Position | Sarmistha Bhalla (OWNER) |
| Authorized Official Contact | 5734434431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Refound Psychiatry Services Llc Po Box 1525 Columbia MO 65205-1525 Ph: (573) 443-4431 | Refound Psychiatry Services Llc 10 S Hospital Dr Fulton MO 65251-2510 Ph: (573) 443-4431 |
| NPI Number | 1043575525 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 5799933685 |
|---|---|
| Medicare Enrollment ID | O20120919000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043575525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2009003220 (Missouri) | Primary |
| Provider Name | Syed Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366428286 PECOS PAC ID: 6507820230 Enrollment ID: I20041112000932 |
| Provider Name | Sarmistha Bhalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083791792 PECOS PAC ID: 4183770589 Enrollment ID: I20090928000319 |
| Provider Name | Muskinni Olanrewaju Salau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215167895 PECOS PAC ID: 9931349396 Enrollment ID: I20130708000314 |
| Provider Name | Stephanie M Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255734836 PECOS PAC ID: 0840514279 Enrollment ID: I20161117001008 |
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