Provider Demographics
NPI:1396155842
Name:AMERICAN PSYCHIATRY NEUROLOGY AND SLEEP MEDICINE
Entity type:Organization
Organization Name:AMERICAN PSYCHIATRY NEUROLOGY AND SLEEP MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-629-2577
Mailing Address - Street 1:2205 ROGENE DR
Mailing Address - Street 2:#101
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3443
Mailing Address - Country:US
Mailing Address - Phone:617-629-2577
Mailing Address - Fax:
Practice Address - Street 1:2205 ROGENE DR
Practice Address - Street 2:#101
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3443
Practice Address - Country:US
Practice Address - Phone:617-629-2577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00740692084N0400X, 2084P0804X, 2084S0012X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty