Provider Demographics
NPI:1376039263
Name:METROPOLITAN BEHAVIORAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:METROPOLITAN BEHAVIORAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THODUR
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANGANATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-729-5177
Mailing Address - Street 1:155 N MICHIGAN AVE STE 634
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7796
Mailing Address - Country:US
Mailing Address - Phone:312-729-5177
Mailing Address - Fax:708-876-8800
Practice Address - Street 1:645 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644
Practice Address - Country:US
Practice Address - Phone:773-626-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty