| Dr Hamdan Psychiatric Clinic Pllc | |
|
1760 Mcclain St Greenville MS 38701-7647 | |
| (662) 332-8848 | |
| Not Available |
| Full Name | Dr Hamdan Psychiatric Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1760 Mcclain St, Greenville, Mississippi |
| Authorized Official Name and Position | Cindy Palmer (ADMINISTRATOR) |
| Authorized Official Contact | 6623328848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hamdan Psychiatric Clinic Pllc Po Box 4577 Greenville MS 38704-4577 Ph: (662) 332-8848 | Dr Hamdan Psychiatric Clinic Pllc 1760 Mcclain St Greenville MS 38701-7647 Ph: (662) 332-8848 |
| NPI Number | 1225278716 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 1052477288 |
|---|---|
| Medicare Enrollment ID | O20090312000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225278716 | NPI | - | NPPES |
| 0123298 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 16335 (Mississippi) | Primary |
| Provider Name | Khaled N Abu-hamdan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356482459 PECOS PAC ID: 1456341221 Enrollment ID: I20040513001254 |
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