Provider Demographics
NPI:1548875883
Name:MD PSYCHIATRY AND EMOTIONAL HEALTH
Entity type:Organization
Organization Name:MD PSYCHIATRY AND EMOTIONAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:THARWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-908-6446
Mailing Address - Street 1:530 NEW WAVERLY PL STE 314
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7414
Mailing Address - Country:US
Mailing Address - Phone:919-854-0021
Mailing Address - Fax:984-333-9160
Practice Address - Street 1:530 NEW WAVERLY PL STE 314
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-854-0021
Practice Address - Fax:984-333-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty