Provider Demographics
NPI:1033894274
Name:INTERVENTIONAL PSYCHIATRY CONSULTANTS
Entity Type:Organization
Organization Name:INTERVENTIONAL PSYCHIATRY CONSULTANTS
Other - Org Name:ATLANTA INTEGRATIVE PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOHAIB
Authorized Official - Middle Name:SHAMSUL
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-704-6735
Mailing Address - Street 1:2751 BUFORD HWY NE STE 204
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5456
Mailing Address - Country:US
Mailing Address - Phone:404-966-0037
Mailing Address - Fax:
Practice Address - Street 1:2751 BUFORD HWY NE STE 204
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5456
Practice Address - Country:US
Practice Address - Phone:678-704-6735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty