Provider Demographics
NPI:1710514823
Name:DR DOSS MD PC
Entity Type:Organization
Organization Name:DR DOSS MD PC
Other - Org Name:FEEL GOOD BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AJEETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVINDRADOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MRCPSYCH
Authorized Official - Phone:267-682-6908
Mailing Address - Street 1:600 W GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1046
Mailing Address - Country:US
Mailing Address - Phone:267-682-6908
Mailing Address - Fax:
Practice Address - Street 1:600 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1046
Practice Address - Country:US
Practice Address - Phone:267-682-6908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty