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NPI Code Detail

MEDICARE: PSYCHIATRIC MEDICAL ASSOCIATES, PA

MEDICARE: PSYCHIATRIC MEDICAL ASSOCIATES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508902149
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHIATRIC MEDICAL ASSOCIATES, PA
Provider Business Mailing Address
First Line : 6404 INTERNATIONAL PKWY STE 1010
Second Line :
City : PLANO
State : TX
Zip : 75093-8346
Country : US
Telephone Number : 972-267-1988
Fax Number : 972-267-3434
Provider Business Practice Location Address
First Line : 6404 INTERNATIONAL PKWY STE 1010
Second Line :
City : PLANO
State : TX
Zip : 75093-8346
Country : US
Telephone Number : 972-267-1988
Fax Number : 972-267-3434
Authorized Official
Title or Position : PRESIDENT
Name : DR. SEJAL MEHTA
Credential : M.D.
Telephone Number : 972-267-1988
Provider Enumeration Date : 01/30/2007
Last Update Date : 04/02/2025

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