Shumo Psychiatric Services Llc | |
2530 Debarr Rd Anchorage AK 99508-2948 | |
(907) 258-7575 | |
Not Available |
Full Name | Shumo Psychiatric Services Llc |
---|---|
Speciality | Psychiatric Unit |
Location | 2530 Debarr Rd, Anchorage, Alaska |
Authorized Official Name and Position | Shubhranjan Ghosh (PRESIDENT) |
Authorized Official Contact | 9079293355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shumo Psychiatric Services Llc 12914 Lindsey Cir Anchorage AK 99516-2774 Ph: (907) 929-3355 | Shumo Psychiatric Services Llc 2530 Debarr Rd Anchorage AK 99508-2948 Ph: (907) 258-7575 |
NPI Number | 1912165630 |
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Provider Enumeration Date | 05/29/2008 |
Last Update Date | 05/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912165630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 115744 (Alaska) | Primary |
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