| Tri County Psychiatric Associates, P.a. | |
|
101 E Miller St Orlando FL 32806-2123 | |
| (407) 246-6620 | |
| (407) 246-6621 |
| Full Name | Tri County Psychiatric Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 E Miller St, Orlando, Florida |
| Authorized Official Name and Position | Aftab Qadir (PSYCHIATRIST) |
| Authorized Official Contact | 4072466620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Psychiatric Associates, P.a. 101 E Miller St Orlando FL 32806-2123 Ph: (407) 246-6620 | Tri County Psychiatric Associates, P.a. 101 E Miller St Orlando FL 32806-2123 Ph: (407) 246-6620 |
| NPI Number | 1992853683 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 10/23/2014 |
| Medicare PECOS PAC ID | 2668469602 |
|---|---|
| Medicare Enrollment ID | O20040429001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992853683 | NPI | - | NPPES |
| 004939700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0062388 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0062377 (Florida) | Primary |
| Provider Name | Aftab Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972674349 PECOS PAC ID: 6002803053 Enrollment ID: I20090219000469 |
| Provider Name | Sofia Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659442515 PECOS PAC ID: 0547447948 Enrollment ID: I20110613000537 |
| Provider Name | Karla D Tamakloe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235266651 PECOS PAC ID: 7517104805 Enrollment ID: I20130503000440 |
| Provider Name | Rani M Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821238114 PECOS PAC ID: 7214082411 Enrollment ID: I20180110000556 |
| Provider Name | Shahenaz Jivani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316411366 PECOS PAC ID: 3779821715 Enrollment ID: I20190215002773 |
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