Provider Demographics
NPI:1205470903
Name:ALLIANCE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ALLIANCE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:SACHIDANAND
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAMTAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-252-4601
Mailing Address - Street 1:134 JOHN ROBERT THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2656
Mailing Address - Country:US
Mailing Address - Phone:484-252-4601
Mailing Address - Fax:610-873-2235
Practice Address - Street 1:134 JOHN ROBERT THOMAS DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2656
Practice Address - Country:US
Practice Address - Phone:484-252-4601
Practice Address - Fax:610-873-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty