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NPI 1346100393 · live from the CMS NPI Registry

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Psychiatry & Neurology, Psychiatry in Aiken, SC. National Provider Identifier 1346100393, active.

NPI record

NPI1346100393 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location900 Trail Ridge Rd Fl 1, Aiken, SC 29803
Practice phone877-779-2429
Mailing address3932 W Eau Gallie Blvd, Melbourne, FL 32934
EnumeratedNovember 13, 2025
Last updatedJuly 7, 2026
Authorized officialParikshit Deshmukh, Cio

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry primary2084P0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.