| Roanoke Valley Psychiatric Associates, P.a. | |
|
321 Highway 125 Roanoke Rapids NC 27870-6445 | |
| (252) 537-8400 | |
| (252) 537-9585 |
| Full Name | Roanoke Valley Psychiatric Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 321 Highway 125, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Ravinder Mamedi (PRESIDENT) |
| Authorized Official Contact | 2525378400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roanoke Valley Psychiatric Associates, P.a. 321 Highway 125 Roanoke Rapids NC 27870-6445 Ph: (252) 537-8400 | Roanoke Valley Psychiatric Associates, P.a. 321 Highway 125 Roanoke Rapids NC 27870-6445 Ph: (252) 537-8400 |
| NPI Number | 1003964016 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/15/2012 |
| Medicare PECOS PAC ID | 5193703585 |
|---|---|
| Medicare Enrollment ID | O20040712001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003964016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 121198 (North Carolina) | Primary |
| Provider Name | Ravinder Mamedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972554541 PECOS PAC ID: 2062490451 Enrollment ID: I20040712001082 |
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