=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093219081
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROPSYCHIATRY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2018
-----------------------------------------------------
Last Update Date | 04/27/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7714 LA HWY 700
-----------------------------------------------------
City | KAPLAN
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70548-6121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-643-8424
-----------------------------------------------------
Fax | 337-643-8407
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7714 LA HWY 700
-----------------------------------------------------
City | KAPLAN
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70548-6121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-643-8424
-----------------------------------------------------
Fax | 337-643-8407
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MD
-----------------------------------------------------
Name | SURESHKUMAR H BHATT
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 337-643-8424
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084B0040X
-----------------------------------------------------
Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
-----------------------------------------------------
License Number | MD.204609
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------