Kiran Shashi Devaraj (NPI# 1003878984, PAC ID# 6204857105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1003878984 |
| PAC ID by PECOS | 6204857105 |
| Professional Enrollment ID | I20051207000524 |
| Full Name | Kiran Shashi Devaraj |
| Organization Legal Name | PSI MED INC |
| Address |
1520 Kanawha E Blvd E Charleston WV 25311-2413 |
| Phone Number | 6812659047 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9335199843 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 | 6812659047 | PSI MED INC |
| Organization Legal Name | PSI MED INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole Lim | Nurse Practitioner | Psi Med Inc | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 |
| Parrish Harless | Nurse Practitioner | Psi Med Inc | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 |
| James David Miller | Physician Assistant | Psi Med Inc | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 |
| Street Address |
1520 KANAWHA E BLVD E |
| City | CHARLESTON |
| State | WV |
| Zip | 25311-2413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole Lim | Nurse Practitioner | Psi Med Inc | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 |
| Michelle Cardi | Clinical Psychologist | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 | |
| Parrish Harless | Nurse Practitioner | Psi Med Inc | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 |
| James David Miller | Physician Assistant | Psi Med Inc | 1520 Kanawha E Blvd E, Charleston, WV 25311-2413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Pierson | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Amber B Bays | Physical Therapy | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Jason Castle | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Mark D Henrich | Physical Therapy | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Paul Legg | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Clark Adkins | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Carrie P Frame | Podiatry | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Amy B Cope | Physician Assistant | Bone and Joint Surgeons Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Teresa M Sitler | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Jennifer L Whaley | Nurse Practitioner | Beckley Dermatology Inc. | 300 Kenton Dr, Suite 2, Charleston, WV 25311-1266 |
| Find all physicians in zip 25311 | |||
| City | CHARLESTON |
| Zip Code | 25311 |
| Specialty | PSYCHIATRY |
| City + Specialty | CHARLESTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Kiran Shashi Devaraj.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
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.