Organization
ADVANCED TELEPSYCHIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAS PANCHOLI (CEO)
(540) 772-1974
Entity
Organization
Contact information
Practice address
5372 FALLOWATER LANE, SUITE C, ROANOKE, VA 24018
(540) 772-1974
(540) 283-0032
Mailing address
5372 FALLOWATER LANE, SUITE C, ROANOKE, VA 24018
(540) 772-1974
(540) 283-0032
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
12/13/2012
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