Roanoke Valley Psychiatric Associates, P.a. | |
321 Highway 125 Roanoke Rapids NC 27870-6445 | |
(252) 537-8400 | |
(252) 537-9585 |
Full Name | Roanoke Valley Psychiatric Associates, P.a. |
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Speciality | Psychiatry & Neurology |
Location | 321 Highway 125, Roanoke Rapids, North Carolina |
Authorized Official Name and Position | Ravinder Mamedi (PRESIDENT) |
Authorized Official Contact | 2525378400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roanoke Valley Psychiatric Associates, P.a. 321 Highway 125 Roanoke Rapids NC 27870-6445 Ph: (252) 537-8400 | Roanoke Valley Psychiatric Associates, P.a. 321 Highway 125 Roanoke Rapids NC 27870-6445 Ph: (252) 537-8400 |
NPI Number | 1003964016 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 08/15/2012 |
Medicare PECOS PAC ID | 5193703585 |
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Medicare Enrollment ID | O20040712001045 |
Identifier | Type | State | Issuer |
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1003964016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 121198 (North Carolina) | Primary |
Provider Name | Ravinder Mamedi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972554541 PECOS PAC ID: 2062490451 Enrollment ID: I20040712001082 |
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