| Sbn Incorporated | |
|
2401 S Side Blvd Greensboro NC 27406-3311 | |
| (919) 491-3455 | |
| (919) 859-5225 |
| Full Name | Sbn Incorporated |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2401 S Side Blvd, Greensboro, North Carolina |
| Authorized Official Name and Position | Mohammad Fahim-danish Lateef (PRESIDENT OF THE COMPANY) |
| Authorized Official Contact | 9194913455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbn Incorporated 25 Winding Ridge Rd Durham NC 27713-5811 Ph: () - | Sbn Incorporated 2401 S Side Blvd Greensboro NC 27406-3311 Ph: (919) 491-3455 |
| NPI Number | 1598850844 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 9335164052 |
|---|---|
| Medicare Enrollment ID | O20051012000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598850844 | NPI | - | NPPES |
| 1962445668 | Other | NC | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mohammad D Lateef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962445668 PECOS PAC ID: 2264324383 Enrollment ID: I20040325000611 |
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