Provider Demographics
NPI:1104949148
Name:BERKS PSYCHIATRY INC.
Entity type:Organization
Organization Name:BERKS PSYCHIATRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:ABDUL RAHMAN
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-372-2525
Mailing Address - Street 1:59 LINREE AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9075
Mailing Address - Country:US
Mailing Address - Phone:610-372-2525
Mailing Address - Fax:610-372-2345
Practice Address - Street 1:35 N 6TH ST # 101
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3522
Practice Address - Country:US
Practice Address - Phone:610-372-2525
Practice Address - Fax:610-372-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health