| Sun Psychiatry Pllc | |
|
12217 Sitting Bull Dr El Paso TX 79936-7891 | |
| (801) 615-1796 | |
| Not Available |
| Full Name | Sun Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12217 Sitting Bull Dr, El Paso, Texas |
| Authorized Official Name and Position | Shivani Mehta (CEO) |
| Authorized Official Contact | 8016151796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Psychiatry Pllc 12217 Sitting Bull Dr El Paso TX 79936-7891 Ph: (801) 615-1796 | Sun Psychiatry Pllc 12217 Sitting Bull Dr El Paso TX 79936-7891 Ph: (801) 615-1796 |
| NPI Number | 1063039535 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Medicare PECOS PAC ID | 6507280591 |
|---|---|
| Medicare Enrollment ID | O20200723001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063039535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shivani U Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316248305 PECOS PAC ID: 7012194269 Enrollment ID: I20110615000666 |
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