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Organization

PSYCHIATRIC CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PARTHIV J SHETH M.D. (MEDICAL DIRECTOR)
(757) 643-8989
Entity
Organization

Contact information

Practice address
300 GLEBE SPRING LN, YORKTOWN, VA 23693-3125
(757) 643-8989
Mailing address
300 GLEBE SPRING LN, YORKTOWN, VA 23693-3125
(757) 643-8989

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
0101226872
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010086639
VA
01
142821
ANTHEM
VA
01
O80759M
SENTARA
VA
Enumeration date
12/07/2006
Last updated
04/29/2014
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