Wabash Valley Psychiatry, Llc | |
4511 S 7th St Terre Haute IN 47802-4503 | |
(812) 299-7107 | |
Not Available |
Full Name | Wabash Valley Psychiatry, Llc |
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Speciality | Psychiatry & Neurology |
Location | 4511 S 7th St, Terre Haute, Indiana |
Authorized Official Name and Position | Mathews John (PARTNER) |
Authorized Official Contact | 8122997107 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wabash Valley Psychiatry, Llc 5492 Ryanne Marie Ln Terre Haute IN 47802-8177 Ph: (812) 299-7107 | Wabash Valley Psychiatry, Llc 4511 S 7th St Terre Haute IN 47802-4503 Ph: (812) 299-7107 |
NPI Number | 1811223944 |
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Provider Enumeration Date | 10/24/2009 |
Last Update Date | 04/14/2015 |
Medicare PECOS PAC ID | 1254474588 |
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Medicare Enrollment ID | O20100208000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811223944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (Indiana) | Primary |
Provider Name | Shahzad Asgharali Parvaz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003878133 PECOS PAC ID: 7012806466 Enrollment ID: I20040908001058 |
Provider Name | Mathews John |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174571574 PECOS PAC ID: 1052454386 Enrollment ID: I20100208000745 |
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