Fort Wayne Psychiatry. P. C. in Fort Wayne - Psychiatry
Fort Wayne Psychiatry. P. C. - NPI 1427148782
Fort Wayne Psychiatry. P. C. is a Psychiatry in Fort Wayne, Indiana. Fort Wayne Psychiatry. P. C. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Fort Wayne Psychiatry. P. C. is 1427148782. The last update date is 2017-01-15.
Fort Wayne Psychiatry. P. C.'s current location address is 3400 E Coliseum Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604841312 and fax number 2604710996. The mailing address for Fort Wayne Psychiatry. P. C. is 3400 E Coliseum Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Wayne Psychiatry. P. C. |
|---|---|
| Address | 3400 E Coliseum Blvd, Fort Wayne, Indiana |
| Phone Number | 2604841312 |
| Fax Number | 2604710996 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rustagi Kumar Prevesh |
| Credentials | M. D. |
| Telephone Number | 2604841312 |
NPI Number Detail
| NPI Number | 1427148782 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2017-01-15 |
Provider Mailing Address Detail
| Address | 3400 E Coliseum Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468051644 |
| Phone Number | 2604841312 |
| Fax Number | 2604710996 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100389780A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Fort Wayne Psychiatry. P. C. by the Centers for Medicare & Medicaid Services?
The Fort Wayne Psychiatry. P. C. has been issued the NPI (National Provider Identifier) 1427148782 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Fort Wayne Psychiatry. P. C. is geographically located?
The Fort Wayne Psychiatry. P. C. is physically situated at the following location: 3400 E Coliseum Blvd, Fort Wayne, IN, 468051644.
What is Fort Wayne Psychiatry. P. C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fort Wayne Psychiatry. P. C.'s specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did Fort Wayne Psychiatry. P. C. receive its 1427148782 assignment from the Centers for Medicare & Medicaid Services?
The Fort Wayne Psychiatry. P. C. was assigned its 1427148782 on 2006-10-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Fort Wayne Psychiatry. P. C. most recently updated?
The details pertaining to the Fort Wayne Psychiatry. P. C., including its address, specialty, and other relevant information, were last refreshed on 2017-01-15.
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