MEDICARE: CARMEL PSYCHIATRIC 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
1	102L00000X	Psychoanalyst	39475	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0274G	OTHER	NC	BCBS
2	39475	OTHER	NC	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942420146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARMEL PSYCHIATRIC ASSOCIATES PA

Provider Business Mailing Address
First Line	:	7301 CARMEL EXECUTIVE PARK
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8251
Country	:	US
Telephone Number	:	704-544-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 CARMEL EXECUTIVE PARK DR
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8251
Country	:	US
Telephone Number	:	704-544-0050
Fax Number	:

Authorized Official
Title or Position	:	MD PHD
Name	:	DR. VIDYA SAGAR SETHI
Credential	:	M.D.
Telephone Number	:	704-544-0050

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	01/06/2011

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