| Dr. Pascale Mardikian, Llc | |
|
9263 Medical Plaza Dr Ste A North Charleston SC 29406-7112 | |
| (843) 377-1600 | |
| (843) 377-1601 |
| Full Name | Dr. Pascale Mardikian, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9263 Medical Plaza Dr Ste A, North Charleston, South Carolina |
| Authorized Official Name and Position | Pascale N Mardikian (PHYSICIAN/PSYCHIATRIST) |
| Authorized Official Contact | 8433771600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Pascale Mardikian, Llc 9263 Medical Plaza Dr Ste A North Charleston SC 29406-7112 Ph: (843) 377-1600 | Dr. Pascale Mardikian, Llc 9263 Medical Plaza Dr Ste A North Charleston SC 29406-7112 Ph: (843) 377-1600 |
| NPI Number | 1013203132 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/27/2011 |
| Medicare PECOS PAC ID | 3577731280 |
|---|---|
| Medicare Enrollment ID | O20110725000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013203132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD29787 (South Carolina) | Primary |
| Provider Name | Pascale N Mardikian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649460577 PECOS PAC ID: 9234311408 Enrollment ID: I20110309000258 |
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