| Virtual Inpatient Psychiatry Physicians Behavioral Network Llc | |
|
425 W Colonial Dr Ste 302 Orlando FL 32804-6863 | |
| (407) 362-5459 | |
| Not Available |
| Full Name | Virtual Inpatient Psychiatry Physicians Behavioral Network Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 425 W Colonial Dr Ste 302, Orlando, Florida |
| Authorized Official Name and Position | Brian Nichols (SVP) |
| Authorized Official Contact | 3305363746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Inpatient Psychiatry Physicians Behavioral Network Llc 425 W Colonial Dr Ste 302 Orlando FL 32804-6863 Ph: (407) 362-5459 | Virtual Inpatient Psychiatry Physicians Behavioral Network Llc 425 W Colonial Dr Ste 302 Orlando FL 32804-6863 Ph: (407) 362-5459 |
| NPI Number | 1801385521 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 6709124332 |
|---|---|
| Medicare Enrollment ID | O20190206002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801385521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anjum Mobin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801961420 PECOS PAC ID: 2769418052 Enrollment ID: I20050708000412 |
| Provider Name | Syed H Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366517021 PECOS PAC ID: 1658432208 Enrollment ID: I20081202000188 |
| Provider Name | Aftab Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972674349 PECOS PAC ID: 6002803053 Enrollment ID: I20090219000469 |
| Provider Name | Nasreen Razack-malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982732707 PECOS PAC ID: 6507916376 Enrollment ID: I20090617000183 |
| Provider Name | Syed Hashimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477658268 PECOS PAC ID: 7517953250 Enrollment ID: I20090623000733 |
| Provider Name | Luis Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720035058 PECOS PAC ID: 2163574146 Enrollment ID: I20090722000670 |
| Provider Name | Carlos H Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508804766 PECOS PAC ID: 5890899439 Enrollment ID: I20100211000276 |
| Provider Name | Stacie Lauro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285778944 PECOS PAC ID: 6406748326 Enrollment ID: I20110602000530 |
| Provider Name | Sofia Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659442515 PECOS PAC ID: 0547447948 Enrollment ID: I20110613000537 |
| Provider Name | Marnie Stefan Acta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336301753 PECOS PAC ID: 7012163231 Enrollment ID: I20120803000250 |
| Provider Name | Angela Maria Camacho-duran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932387271 PECOS PAC ID: 1456545342 Enrollment ID: I20160510000139 |
| Provider Name | Michael Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902259310 PECOS PAC ID: 1355620444 Enrollment ID: I20161112000232 |
| Provider Name | Peter Paythal Ganpat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255650081 PECOS PAC ID: 3779895958 Enrollment ID: I20170822001301 |
| Provider Name | Mohammad Y Bhaghani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669567269 PECOS PAC ID: 8224301288 Enrollment ID: I20170913002471 |
| Provider Name | Ashley H Chatigny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740456391 PECOS PAC ID: 4880844588 Enrollment ID: I20190709000908 |
| Provider Name | Brian Medlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184120610 PECOS PAC ID: 5395168538 Enrollment ID: I20200707002605 |
| Provider Name | Zohaib Sohail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588070312 PECOS PAC ID: 3173740818 Enrollment ID: I20211025001776 |
| Provider Name | Crystal Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174142236 PECOS PAC ID: 7517358377 Enrollment ID: I20220105001436 |
| Provider Name | Robina M Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588760706 PECOS PAC ID: 7810054723 Enrollment ID: I20220803002828 |
| Provider Name | Lorena Grullon-figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437316866 PECOS PAC ID: 7517006380 Enrollment ID: I20221101000555 |
| Provider Name | Susan Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306070701 PECOS PAC ID: 3779955042 Enrollment ID: I20230214003315 |
| Provider Name | Theresa M Galindo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841934247 PECOS PAC ID: 2365816790 Enrollment ID: I20230324001968 |
| Provider Name | Robert Dugger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669817250 PECOS PAC ID: 7719309624 Enrollment ID: I20230406002377 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508382763 PECOS PAC ID: 3476827478 Enrollment ID: I20230606000528 |
| Provider Name | Christine L Ranum |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1558082412 PECOS PAC ID: 8820457864 Enrollment ID: I20230707003467 |
| Provider Name | Venkata Durga Prasad Diddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720499825 PECOS PAC ID: 8123334141 Enrollment ID: I20240325004083 |
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