Organization
FREEDOM PSYCHIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONDAL MADARAM MD (PRESIDENT)
(919) 271-6784
Entity
Organization
Contact information
Practice address
7540 RAMBLE WAY STE 109, RALEIGH, NC 27616-4318
(919) 457-1200
(919) 457-1100
Mailing address
7540 RAMBLE WAY STE 109, RALEIGH, NC 27616-4318
(919) 457-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015-01900
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
03/19/2018
Last updated
09/17/2024
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