Healthcare Provider Details

I. General information

NPI: 1134664501
Provider Name (Legal Business Name): ALPHA PSYCHIATRIC ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2016
Last Update Date: 01/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6224 FAYETTEVILLE RD STE 105
DURHAM NC
27713-6288
US

IV. Provider business mailing address

6224 FAYETTEVILLE RD STE 105
DURHAM NC
27713-6288
US

V. Phone/Fax

Practice location:
  • Phone: 919-439-6120
  • Fax: 919-246-4420
Mailing address:
  • Phone: 919-439-6120
  • Fax: 919-246-4420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number194823
License Number StateNC

VIII. Authorized Official

Name: SAVITHA UPADHYA
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 919-439-6120