| Southwest Psychiatric Services | |
|
3101 S Austin Ave Georgetown TX 78626-7541 | |
| (248) 905-5091 | |
| (248) 905-5096 |
| Full Name | Southwest Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3101 S Austin Ave, Georgetown, Texas |
| Authorized Official Name and Position | Hana Attar (VP) |
| Authorized Official Contact | 2489055091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Psychiatric Services 1450 W Long Lake Rd Ste 340 Troy MI 48098-6330 Ph: (248) 905-5091 | Southwest Psychiatric Services 3101 S Austin Ave Georgetown TX 78626-7541 Ph: (248) 905-5091 |
| NPI Number | 1174297303 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 9335522218 |
|---|---|
| Medicare Enrollment ID | O20220810003463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174297303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anant Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437187838 PECOS PAC ID: 5092726653 Enrollment ID: I20060510000257 |
| Provider Name | Ramakrishna P Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457397903 PECOS PAC ID: 7810959665 Enrollment ID: I20061026000269 |
| Provider Name | Joshua J Atkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710322920 PECOS PAC ID: 5395002877 Enrollment ID: I20171208001930 |
| Provider Name | Weiran Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609037126 PECOS PAC ID: 8325301203 Enrollment ID: I20180405001111 |
| Provider Name | Biling Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376975268 PECOS PAC ID: 8921356312 Enrollment ID: I20180801001283 |
| Provider Name | Joseph Ikekwere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568859635 PECOS PAC ID: 5395007702 Enrollment ID: I20220830001904 |
| Provider Name | Owais Tirmizi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447511357 PECOS PAC ID: 7113302092 Enrollment ID: I20220913001689 |
| Provider Name | Amber Mansoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588076343 PECOS PAC ID: 5395120265 Enrollment ID: I20220914001356 |
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