Organization
OHIO PSYCHIATRIC SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRAMODA FATEHCHAND PA-C (PSYSICIAN ASSISTANT)
(740) 201-6021
Entity
Organization
Contact information
Practice address
109 N BROAD ST STE 304, LANCASTER, OH 43130-3785
(740) 201-6021
Mailing address
109 N BROAD ST STE 304, LANCASTER, OH 43130-3785
(740) 201-6021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003529
OH
Other
Enumeration date
08/02/2016
Last updated
07/25/2023
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