Provider Demographics
NPI:1891537510
Name:OWENSBORO PSYCHIATRIC GROUP PLLC
Entity type:Organization
Organization Name:OWENSBORO PSYCHIATRIC GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HEJRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-451-5869
Mailing Address - Street 1:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-473-0181
Mailing Address - Fax:812-492-6498
Practice Address - Street 1:5000 BACK SQUARE DR STE C200
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-7411
Practice Address - Country:US
Practice Address - Phone:270-240-9200
Practice Address - Fax:812-492-6349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty