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PAVAN PAMADURTHI M.D. P.A. NPI 1841689221


NPI Information

NPI: 1841689221
Provider Name: PAVAN PAMADURTHI M.D., P.A.

Doing Business As: SAFE HAVEN PSYCHIATRY

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 45D2101879

Address:
3447 RENNER RD STE 120
PLANO, TX
ZIP 75074
Phone: (469) 941-4546
Get Directions

PAVAN PAMADURTHI M.D., P.A. is a psychiatry psychiatry neurology in Plano, TX. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PAVAN PAMADURTHI M.D., P.A. NPI is 1841689221. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Safe Haven Psychiatry.

The provider's business location address is:

3447 RENNER RD STE 120
PLANO, TX
ZIP 75074-051
Phone: (469) 941-4546
Fax: (469) 941-4543

The provider's authorized official is Pavan Kumar Reddy Pamadurthi .
The authorized official title is Psychiatrist and has the following contact phone number (469) 941-4546.

The CLIA number assigned to this NPI record is 45D2101879 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 8/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryP5865TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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