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Contact Information

WINSTON PSYCHIATRIC ASSOCIATES PA
125 ASHLEYBROOK SQUARE
WINSTON-SALEM, NC27103
 Phone: 336-765-6577
 Fax: 336-768-2972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for WINSTON PSYCHIATRIC ASSOCIATES PA

NPI Number 1386719128
LBN Legal business name WINSTON PSYCHIATRIC ASSOCIATES PA
Authorized official RAJAKUMAR THOTAKURA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC Medicaid 890299K
NC Other 0299K BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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