| Metro Behavioral Care Llc | |
|
227 Scenic Hwy Suite A Lawrenceville GA 30045 | |
| (770) 513-7666 | |
| (770) 513-1093 |
| Full Name | Metro Behavioral Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 227 Scenic Hwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Mahendra Ratilal Shah (DIRECTOR) |
| Authorized Official Contact | 7705137666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Behavioral Care Llc 227 Scenic Hwy Suite A Lawrenceville GA 30045 Ph: (770) 513-7666 | Metro Behavioral Care Llc 227 Scenic Hwy Suite A Lawrenceville GA 30045 Ph: (770) 513-7666 |
| NPI Number | 1659439313 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507854205 |
|---|---|
| Medicare Enrollment ID | O20040503000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659439313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rohini K Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407857345 PECOS PAC ID: 9739284597 Enrollment ID: I20070424000127 |
| Provider Name | Mahendra R Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326122367 PECOS PAC ID: 0840375721 Enrollment ID: I20101115001043 |
| Provider Name | Shripal K Makim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104900141 PECOS PAC ID: 1658566740 Enrollment ID: I20101115001075 |
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