Organization
MIDWEST PSYCHIATRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESHKUMAR M KANERIA M.D. (PRESIDENT)
(513) 217-5221
Entity
Organization
Contact information
Practice address
7760 WEST VOA PARK DR, SUITE G, WEST CHESTER, OH 45069-3371
(513) 217-5221
(513) 217-6221
Mailing address
PO BOX 635924, CINCINNATI, OH 45263-5924
(513) 421-3504
(513) 231-7055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35083440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2804013
—
OH
01
—
293747
AMERIGROUP
OH
01
—
603986997-00
BWC
OH
01
—
603986997-002
MMOH
OH
01
—
=========
CARESOURCE
OH
Enumeration date
09/28/2007
Last updated
02/13/2025
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