| Dr Kiran Shashi Devaraj, MD | |
|
1520 Kanawha Blvd E, Charleston, WV 25311-2413 | |
| (681) 265-9047 | |
| (681) 265-9208 |
| Full Name | Dr Kiran Shashi Devaraj |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 33 Years |
| Location | 1520 Kanawha Blvd E, Charleston, West Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003878984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20600 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Bhc West Virginia Llc | 2860818499 | 9 |
| Devaraj Behavioral Healthcare Pllc | 9234565649 | 4 |
| Psi Med Inc | 9335199843 | 9 |
| Infinity Center Llc | 8820322092 | 3 |
| Entity Name | Psi Med Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932444221 PECOS PAC ID: 9335199843 Enrollment ID: O20050124000058 |
| Entity Name | Devaraj Behavioral Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093362840 PECOS PAC ID: 9234565649 Enrollment ID: O20200204000161 |
| Entity Name | Summit Bhc West Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801411905 PECOS PAC ID: 2860818499 Enrollment ID: O20200813001564 |
| Entity Name | Recovery Resource Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669066858 PECOS PAC ID: 1355700030 Enrollment ID: O20230629001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kiran Shashi Devaraj, MD 1520 Kanawha Blvd E, Charleston, WV 25311-2413 Ph: (681) 265-9047 | Dr Kiran Shashi Devaraj, MD 1520 Kanawha Blvd E, Charleston, WV 25311-2413 Ph: (681) 265-9047 |
Nohl Arthur Braun Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1418 Maccorkle Ave Sw, Charleston, WV 25303 Phone: 304-348-1288 Fax: 304-348-1262 | |
Debra Russell Mooney, C-FNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-756-5715 | |
Darshankumar Ashwinbhai Dave, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave Se, Suite 802, Charleston, WV 25304 Phone: 304-343-4400 Fax: 304-345-5005 | |
Kirvia Josefina Williams, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 Morris St Ste 300, Charleston, WV 25301 Phone: 304-388-6441 Fax: 304-388-6445 | |
Lauren C Seeberger, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 415 Morris St Ste 300, Charleston, WV 25301 Phone: 304-388-6441 Fax: 304-388-6445 | |
Gina Michelle Puzzuoli, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 511 Morris St, Charleston, WV 25301 Phone: 304-341-0511 Fax: 304-341-0197 |