| Panacea Psychiatric Center Plc | |
|
5651 Frist Blvd Ste 701 Hermitage TN 37076-2061 | |
| (615) 884-5669 | |
| (615) 884-5670 |
| Full Name | Panacea Psychiatric Center Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5651 Frist Blvd Ste 701, Hermitage, Tennessee |
| Authorized Official Name and Position | Syed N Huda (MANAGER) |
| Authorized Official Contact | 6158845669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panacea Psychiatric Center Plc 5651 Frist Blvd Ste 701 Hermitage TN 37076-2061 Ph: (615) 884-5669 | Panacea Psychiatric Center Plc 5651 Frist Blvd Ste 701 Hermitage TN 37076-2061 Ph: (615) 884-5669 |
| NPI Number | 1831360866 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 12/14/2012 |
| Medicare PECOS PAC ID | 2668550377 |
|---|---|
| Medicare Enrollment ID | O20080422000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831360866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 41311 (Tennessee) | Primary |
| Provider Name | Shahana Huda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497802961 PECOS PAC ID: 1759486467 Enrollment ID: I20070424000661 |
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