Pramoda Fatehchand, PAC
Pramoda Fatehchand, PAC is a Physician Assistant in Logan, Ohio. Qualified in 2012, 14 years ago. Practices with Ohio Psychiatric Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.
- Years since qualifying
- 14
- Licensed in
- OH, WV
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
601 State Route 664 NLogan, OH 43138-8541
Phone: (740) 380-8410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 003529 (OH) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PPA01520 (WV) |
Record details
| NPI number | 1720389513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | November 9, 2010 |
| Last updated in NPPES | November 23, 2020 |
| Certification date | November 23, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Ohio Psychiatric Services Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Logan
-
Rachel L. Riel, PA
601 State Route 664 N, Logan, OH 43138-8541 · (740) 380-8000