Provider Demographics
NPI:1982783247
Name:COMPREHENSIVE PSYCHIATRIC CARE PC
Entity Type:Organization
Organization Name:COMPREHENSIVE PSYCHIATRIC CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:SARWAT
Authorized Official - Last Name:OKASHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-886-1508
Mailing Address - Street 1:200 WEST TOWN ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360
Mailing Address - Country:US
Mailing Address - Phone:860-886-1508
Mailing Address - Fax:860-889-4606
Practice Address - Street 1:200 WEST TOWN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360
Practice Address - Country:US
Practice Address - Phone:860-886-1508
Practice Address - Fax:860-889-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1175298Medicaid
CT1175298Medicaid