Provider Demographics
NPI:1174715908
Name:PSYCHIATRIC CONSULTANTS OF CARY
Entity type:Organization
Organization Name:PSYCHIATRIC CONSULTANTS OF CARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF PLLC
Authorized Official - Prefix:DR
Authorized Official - First Name:UZMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FAHEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-859-5565
Mailing Address - Street 1:200 KEISLER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8801
Mailing Address - Country:US
Mailing Address - Phone:919-859-5565
Mailing Address - Fax:
Practice Address - Street 1:200 KEISLER DR
Practice Address - Street 2:SUITE, A
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8801
Practice Address - Country:US
Practice Address - Phone:919-859-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-006072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty