| Waverly Psychiatry Llc | |
|
10709 Birmingham Way Woodstock MD 21163-1403 | |
| (410) 988-8083 | |
| (833) 909-0051 |
| Full Name | Waverly Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10709 Birmingham Way, Woodstock, Maryland |
| Authorized Official Name and Position | Syed Asad Hassan Bokhari (OWNER) |
| Authorized Official Contact | 4109888083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waverly Psychiatry Llc 10709 Birmingham Way Woodstock MD 21163-1403 Ph: (410) 988-8083 | Waverly Psychiatry Llc 10709 Birmingham Way Woodstock MD 21163-1403 Ph: (410) 988-8083 |
| NPI Number | 1508566811 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508566811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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