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Organization

CUMBERLAND PSYCHIATRIC SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BADSHAH MAITRA M.D. (CEO)
(931) 473-7856
Entity
Organization

Contact information

Practice address
201 W MAIN ST, MC MINNVILLE, TN 37110-2581
(931) 473-7856
(931) 506-5317
Mailing address
201 W MAIN ST, MC MINNVILLE, TN 37110-2581
(931) 473-7856
(931) 506-5317

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3104389
BLUE CROSS BLUE SHIELD
TN
05
3718605
TN
Enumeration date
09/20/2006
Last updated
08/22/2020
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