Provider Demographics
NPI:1790088789
Name:GREENWOOD PSYCHIATRIC ASSOCIATES INC.
Entity Type:Organization
Organization Name:GREENWOOD PSYCHIATRIC ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-887-1333
Mailing Address - Street 1:PO BOX 945
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-0945
Mailing Address - Country:US
Mailing Address - Phone:317-887-1333
Mailing Address - Fax:317-887-1333
Practice Address - Street 1:1945 DOCKSIDE DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-8240
Practice Address - Country:US
Practice Address - Phone:317-887-1333
Practice Address - Fax:317-887-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty