Capital Brain Center, Pa

LBN: Capital Brain Center, Pa
Capital Brain Center, Pa is an health care organization with primary practice located at 2800 Bush River Rd Ste 5 , Columbia SC 29210-5662. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Capital Brain Center, Pa can be contacted via phone (803) 551-2900, or through Rao, Subba M via phone (803) 551-2900.

Contact Information

Primary practice address
2800 Bush River Rd Ste 5 Columbia SC 29210-5662
Phone: (803) 551-2900
Fax: (803) 551-2979
Website:
Map and Directions
Authorized official contact:
Name: Rao, Subba M Doctor of Medicine (MD)
Phone: (803) 551-2900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 23617 South Carolina

Profile Details

NPI number 1629106430
LBN Legal business name Capital Brain Center, Pa
DBA Doing business as
Authorized official Rao, Subba M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629106430 NPPES
South Carolina MEDICAID 236177

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