| New Stress Clinic Inc | |
|
5194 Dawes Ave Alexandria VA 22311 | |
| (301) 674-2742 | |
| Not Available |
| Full Name | New Stress Clinic Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5194 Dawes Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Rama S Prayaga (MD) |
| Authorized Official Contact | 3016742742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Stress Clinic Inc 5194 Dawes Ave Alexandria VA 22311-1402 Ph: (301) 674-2742 | New Stress Clinic Inc 5194 Dawes Ave Alexandria VA 22311 Ph: (301) 674-2742 |
| NPI Number | 1033455803 |
|---|---|
| Provider Enumeration Date | 12/22/2012 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 9931408028 |
|---|---|
| Medicare Enrollment ID | O20160425000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033455803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 0101053989 (Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | MD21377 (District Of Columbia) | Primary |
| Provider Name | Rama Prayaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033121058 PECOS PAC ID: 1951563410 Enrollment ID: I20120427000564 |
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