Winston Psychiatric Associates Pa

LBN: Winston Psychiatric Associates Pa
Winston Psychiatric Associates Pa is an health care organization with primary practice located at 125 Ashleybrook Square , Winston Salem NC 27103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Winston Psychiatric Associates Pa can be contacted via phone (336) 765-6577, or through Thotakura, Rajakumar via phone (336) 765-6577.

Contact Information

Primary practice address
125 Ashleybrook Square Winston Salem NC 27103
Phone: (336) 765-6577
Fax: (336) 768-2972
Website:
Map and Directions
Authorized official contact:
Name: Thotakura, Rajakumar Doctor of Medicine (MD)
Phone: (336) 765-6577

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1386719128
LBN Legal business name Winston Psychiatric Associates Pa
DBA Doing business as
Authorized official Thotakura, Rajakumar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
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 1386719128 NPPES
North Carolina Other 0299K BCBS
North Carolina MEDICAID 890299K BCBS

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