| Span Psychiatry Services Pc | |
|
914 Baumann Dr Grand Island NE 68803-4401 | |
| (308) 395-1035 | |
| Not Available |
| Full Name | Span Psychiatry Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 914 Baumann Dr, Grand Island, Nebraska |
| Authorized Official Name and Position | Navdeep Sood (OWNER) |
| Authorized Official Contact | 3083951035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Span Psychiatry Services Pc 224 Ponderosa Dr Grand Island NE 68803-9647 Ph: () - | Span Psychiatry Services Pc 914 Baumann Dr Grand Island NE 68803-4401 Ph: (308) 395-1035 |
| NPI Number | 1659909117 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Medicare PECOS PAC ID | 9830528157 |
|---|---|
| Medicare Enrollment ID | O20200407001720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659909117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Navdeep Sood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043231830 PECOS PAC ID: 7315903556 Enrollment ID: I20061026000573 |
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