Virtual Consult MD LLC
Psychiatry & Neurology, Psychiatry in Hendereson, KY. Organization (NPI-2).
NPI number1174136337
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1174136337
- Entity type
- Organization (NPI-2)
- Legal business name
- Virtual Consult MD LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2020
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Virtual Consult MD, LLC (Doing Business As)
Practice location
2202 Hwy 41 NorthUnit E 152
Hendereson, KY 42420
Phone 812-848-2322 · Fax 812-727-5469
Mailing address
1222 Professional BlvdEvansville, IN 47714-8002
Phone 812-720-3800 · Fax 812-727-5469
Other practice locations
1102 Triplett St Ste 2300
Owensboro, KY 42303-3120
Owensboro, KY 42303-3120
Phone 812-720-3800 · Fax 812-727-5469
Authorized official
Neil Jariwala
Owner
6782000048
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