| Sun Valley Psychiatry Llc | |
|
555 Sun Valley Dr Ste M1 Roswell GA 30076-5631 | |
| (678) 394-0000 | |
| (678) 745-5656 |
| Full Name | Sun Valley Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 Sun Valley Dr Ste M1, Roswell, Georgia |
| Authorized Official Name and Position | Ashim Mehta (OWNER) |
| Authorized Official Contact | 6783940000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Psychiatry Llc 555 Sun Valley Dr Ste M1 Roswell GA 30076-5631 Ph: (678) 394-0000 | Sun Valley Psychiatry Llc 555 Sun Valley Dr Ste M1 Roswell GA 30076-5631 Ph: (678) 394-0000 |
| NPI Number | 1174207948 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 1658725767 |
|---|---|
| Medicare Enrollment ID | O20230922002815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174207948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ashim Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255770780 PECOS PAC ID: 2769612589 Enrollment ID: I20170707002740 |
| Provider Name | Harleen Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275968281 PECOS PAC ID: 9234369091 Enrollment ID: I20170925001029 |
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