Beverly Serabian (NPI# 1104047687, PAC ID# 3173790912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
|Nation Provider ID (NPI)||1104047687|
|PAC ID by PECOS||3173790912|
|Professional Enrollment ID||I20120119000765|
|Full Name||Beverly Serabian|
267 Gano St
|Primary Specialty||CLINICAL PSYCHOLOGIST|
|Accepts Medicare Assignment||Y|
|267 Gano St, Providence, RI 02906-4025||4013317387|
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|Data Provider||Centers for Medicare & Medicaid Services (CMS)|
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.