Shantha Grace Pandian in Johnson City - Psychiatry
Shantha Grace Pandian - NPI 1194757096
Shantha Grace Pandian is a Psychiatry in Johnson City, Tennessee. Shantha Grace Pandian practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Shantha Grace Pandian is 1194757096. The last update date is 2007-07-08.
Shantha Grace Pandian's current location address is 3 Hunters Ridge Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239291754. The mailing address for Shantha Grace Pandian is 3 Hunters Ridge Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shantha Grace Pandian |
|---|---|
| Address | 3 Hunters Ridge Rd, Johnson City, Tennessee |
| Phone Number | 4239291754 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194757096 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3 Hunters Ridge Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376048329 |
| Phone Number | 4239291754 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD0000034812 |
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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 |
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What is the unique provider identifier assigned to Shantha Grace Pandian?
The Shantha Grace Pandian has been issued the NPI (National Provider Identifier) 1194757096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shantha Grace Pandian?
The Shantha Grace Pandian is situated at 3 Hunters Ridge Rd, in the city of Johnson City, state of TN, with the zip code 376048329.
What is Shantha Grace Pandian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shantha Grace Pandian is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
On what date did the Shantha Grace Pandian receive the assignment of its 1194757096 from the Centers for Medicare & Medicaid Services?
The Shantha Grace Pandian was issued its 1194757096 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the Shantha Grace Pandian's details last updated?
The information pertaining to the Shantha Grace Pandian, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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