| Rose Psychiatry | |
|
3755 S Rome St Gilbert AZ 85297-7361 | |
| (480) 631-9589 | |
| Not Available |
| Full Name | Rose Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3755 S Rome St, Gilbert, Arizona |
| Authorized Official Name and Position | Khalid Salim Khan (OWNER) |
| Authorized Official Contact | 4805108019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Psychiatry 67 S Higley Rd Ste 103-183 Gilbert AZ 85296-1166 Ph: () - | Rose Psychiatry 3755 S Rome St Gilbert AZ 85297-7361 Ph: (480) 631-9589 |
| NPI Number | 1396407268 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 10/08/2021 |
| Medicare PECOS PAC ID | 1951792589 |
|---|---|
| Medicare Enrollment ID | O20211215001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396407268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Khalid Salim Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821452418 PECOS PAC ID: 1153696653 Enrollment ID: I20190820001834 |
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