Psychiatric Services P C
Psychiatric Services P C is a Psychiatry Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
800 Broadway Ste 208Fort Wayne, IN 46802-2149
Phone: (260) 425-3204
Fax: (260) 425-3206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 01057700A (IN) |
|---|
Record details
| NPI number | 1194913228 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mahender Surakanti — M.D. · (260) 425-3204 |
| NPI enumerated | October 15, 2007 |
| Last updated in NPPES | February 5, 2010 |
| Mailing address | Po Box 40139, Fort Wayne, IN 46804-0139 |
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