Provider Demographics
NPI:1518272483
Name:CAPITAL AREA PSYCHIATRIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:CAPITAL AREA PSYCHIATRIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:BALOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-237-9081
Mailing Address - Street 1:3126 BLUE RIDGE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8095
Mailing Address - Country:US
Mailing Address - Phone:919-237-9081
Mailing Address - Fax:919-890-0330
Practice Address - Street 1:3126 BLUE RIDGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8095
Practice Address - Country:US
Practice Address - Phone:919-237-9081
Practice Address - Fax:919-890-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)