Sacramento Valley Psychiatry | |
8001 Bruceville Rd Sacramento CA 95823-2329 | |
(413) 433-1562 | |
Not Available |
Full Name | Sacramento Valley Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 8001 Bruceville Rd, Sacramento, California |
Authorized Official Name and Position | Alok Banga (PRESIDENT) |
Authorized Official Contact | 4134331562 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sacramento Valley Psychiatry 8001 Bruceville Rd Sacramento CA 95823-2329 Ph: (413) 433-1562 | Sacramento Valley Psychiatry 8001 Bruceville Rd Sacramento CA 95823-2329 Ph: (413) 433-1562 |
NPI Number | 1851798367 |
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Provider Enumeration Date | 11/26/2014 |
Last Update Date | 11/26/2014 |
Medicare PECOS PAC ID | 0244553873 |
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Medicare Enrollment ID | O20150106001247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851798367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 131310 (California) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 131310 (California) | Secondary |
Provider Name | Alok Banga |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083807531 PECOS PAC ID: 3779760285 Enrollment ID: I20141111001362 |
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