| Safe Haven Psychiatry | |
|
3447 Renner Rd Ste 120 Plano TX 75074-0051 | |
| (469) 941-4546 | |
| (469) 941-4543 |
| Full Name | Safe Haven Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3447 Renner Rd Ste 120, Plano, Texas |
| Authorized Official Name and Position | Pavan Kumar Reddy Pamadurthi (PSYCHIATRIST) |
| Authorized Official Contact | 4699414546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Psychiatry 3447 Renner Rd Ste 120 Plano TX 75074-0051 Ph: (469) 941-4546 | Safe Haven Psychiatry 3447 Renner Rd Ste 120 Plano TX 75074-0051 Ph: (469) 941-4546 |
| NPI Number | 1841689221 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Medicare PECOS PAC ID | 5092031013 |
|---|---|
| Medicare Enrollment ID | O20150310000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841689221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | P5865 (Texas) | Primary |
| Provider Name | Pavan Pamadurthi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982835112 PECOS PAC ID: 7214178433 Enrollment ID: I20130730000554 |
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